NPIMap

Organization Active NPI

Loma Linda University School of Dentistry

  • Dental Clinic/Center
  • Loma Linda, CA
National Provider Identifier
1265692362
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2052 Issued in CA
Legal business name
LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
Practice address
24860 Taylor St
Loma Linda, CA 92354-2810
Phone
(909) 558-4613
Fax
(909) 558-4192
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Mr. Verlon W. Strauss, CPA, MBA
Title
Vice Chancellor
Phone
(909) 558-4543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2052 CA Primary

Addresses

Primary practice location

24860 Taylor St
Loma Linda, CA 92354-2810

Mailing address

11092 Anderson St
Loma Linda, CA 92350-1706
Phone (909) 558-4613

Other identifiers 1

IdentifierTypeStateIssuer
2052OtherCAST. LIC. NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Loma Linda University School of Dentistry20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

24860 Taylor St
Loma Linda, CA 92350
Phone (909) 558-4610

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1265692362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11092 ANDERSON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501706",
            "telephone_number": "909-558-4613",
            "fax_number": "909-558-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24860 TAYLOR ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542810",
            "telephone_number": "909-558-4613",
            "fax_number": "909-558-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "STRAUSS",
        "authorized_official_first_name": "VERLON",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "VICE CHANCELLOR",
        "authorized_official_telephone_number": "909-558-4543",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "2052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST. LIC. NUMBER",
            "identifier": "2052",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.