Maria X Contreras, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56125 Issued in CA

Practice address

18285 Collier Ave
Suite B
Lake Elsinore, CA 92530-2786

Phone

(951) 471-0034

Fax

(951) 471-0166

NPI assigned

Jun 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Watanabe and Lynn Professional Dental Corporation

  dba Oak Grove Dental Group

  • General Practice Dentistry
  • Lake Elsinore, CA
  • NPI 1952465148
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1285896241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28762 PRAIRE FALCON CT",
            "address_2": "2ND FLOOR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637919",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18285 COLLIER AVE",
            "address_2": "SUITE B",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302786",
            "telephone_number": "951-471-0034",
            "fax_number": "951-471-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "MARIA",
        "middle_name": "X",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xinjun Collagan, NP
• Community Access Network Non Profit Corporation
• Compassionate Medical Transport, Inc.
• Concise Healthcare Inc (Concise Healthcare)
• Matthew Mark Connolly
• Heather R Cooney, RADT
• Corc - Cooperation Over Conflict (CORC Counseling Services)
• Corc Family Counseling Corporation
• Corc Family Counseling Corporation
• Corc Family Counseling Corporation

• General Practice Dentistry in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.