Active NPI
Lorna S Offutt, D.D.S.
- Dentist
- Ridgecrest, CA
National Provider Identifier
1295029056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64179
- Practice address
- 900 N Heritage Dr
Ridgecrest, CA 93555-5536 - Phone
- (760) 446-9011
- NPI assigned
- Jun 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2011015615 | MO | |
| Dentist | 122300000X | 64179 | CA | Primary |
Addresses
Primary practice location
900 N Heritage Dr
Ridgecrest, CA 93555-5536
Mailing address
900 N Heritage Dr
Ridgecrest, CA 93555-5536
Phone (760) 446-9011
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011015615 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1295029056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N HERITAGE DR",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935555536",
"telephone_number": "760-446-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N HERITAGE DR",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935555536",
"telephone_number": "760-446-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFFUTT",
"first_name": "LORNA",
"middle_name": "S",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-08",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2011015615",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.