Lonnie W. Tiner, DDS, Apc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

LONNIE W. TINER, DDS, APC

Practice address

56669 29 Palms Hwy
Suite a
Yucca Valley, CA 92284-5219

Phone

(760) 365-0658

Fax

(760) 365-5308

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lonnie W Tiner, DDS

Title

President Owner

Phone

(760) 365-0658

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hi-Desert Oral & Maxillofacial Surgery Center Doing business as

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1265636112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56669 29 PALMS HWY",
            "address_2": "SUITE A",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845219",
            "telephone_number": "760-365-0658",
            "fax_number": "760-365-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56669 29 PALMS HWY",
            "address_2": "SUITE A",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845219",
            "telephone_number": "760-365-0658",
            "fax_number": "760-365-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONNIE W. TINER, DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "TINER",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "760-365-0658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9196501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hi-Desert Oral & Maxillofacial Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Jean Littleton, MA MFT-T
• Debra Kathleen Lloyd, MSW,MS,CADDACII,CCS
• Mandy Lomax, MFT-I
• Lombardo Cho Dental Partnership
• Robert Eugene Lombardo, DDS
• Lorraine Loros
• Trista Dora Loutsenhizer
• Ellin Loveless, BC-HIS
• Dennis Gene Lowman, O.D.
• Clement Miles Lucero, M.A., MFT, INTERN

• All providers in Yucca Valley, CA
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.