Stephen Lockwood DMD Inc

Primary specialty

DentistTaxonomy code 122300000X

License

033120 Issued in CA

Legal business name

STEPHEN LOCKWOOD DMD INC

Practice address

4150 Regents Park Row
Suite 230
La Jolla, CA 92037-9124

Phone

(858) 558-3050

Fax

(858) 558-3053

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Everett Lockwood, D.M.D., M.A.G.D.

Title

General Dentist

Phone

(858) 558-3050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1316349871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW",
            "address_2": "SUITE 230",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371414",
            "telephone_number": "858-558-3050",
            "fax_number": "858-558-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW",
            "address_2": "SUITE 230",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379124",
            "telephone_number": "858-558-3050",
            "fax_number": "858-558-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN LOCKWOOD DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "LOCKWOOD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "858-558-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.A.G.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "033120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.