NPIMap

Organization Active NPI

Dedicated Dental Systems Inc

  • General Practice Dentistry
  • Arvin, CA
National Provider Identifier
1306050331
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DEDICATED DENTAL SYSTEMS INC
Practice address
734 Bear Mountain Blvd
Blvd
Arvin, CA 93203-1414
Phone
(661) 854-5210
Fax
(661) 854-5125
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dave Stanfield
Title
Vice President of Operations
Phone
(949) 567-3151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

734 Bear Mountain Blvd
Blvd
Arvin, CA 93203-1414

Mailing address

PO Box 17179
Irvine, CA 92623-7179
Phone (949) 567-3176

Other names 1

  • Dedcated Dental Mountain View Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dedcated Dental Mountain View3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306050331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17179",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926237179",
            "telephone_number": "949-567-3176",
            "fax_number": "949-567-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 BEAR MOUNTAIN BLVD",
            "address_2": "BLVD",
            "city": "ARVIN",
            "state": "CA",
            "postal_code": "932031414",
            "telephone_number": "661-854-5210",
            "fax_number": "661-854-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED DENTAL SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANFIELD",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "949-567-3151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dedcated Dental Mountain View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arvin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.