Individual provider Active NPI

Lydia D. Arwin, D.D.S.

  • General Practice Dentistry
  • Yorba Linda, CA
National Provider Identifier
1255690723
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38642 Issued in CA
Practice address
23741 La Palma Ave
Suite #C
Yorba Linda, CA 92887-5539
Phone
(714) 692-5001
Fax
(714) 692-5003
NPI assigned
May 3, 2012
Last updated
May 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38642 CA Primary

Addresses

Primary practice location

23741 La Palma Ave
Suite #C
Yorba Linda, CA 92887-5539

Mailing address

23741 La Palma Ave
Suite #C
Yorba Linda, CA 92887-5539
Phone (714) 692-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38642CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jasmine Gill DDS Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1255690723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23741 LA PALMA AVE",
            "address_2": "SUITE #C",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928875539",
            "telephone_number": "714-692-5001",
            "fax_number": "714-692-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23741 LA PALMA AVE",
            "address_2": "SUITE #C",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928875539",
            "telephone_number": "714-692-5001",
            "fax_number": "714-692-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARWIN",
        "first_name": "LYDIA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.