Organization Active NPI

Vista Dental Inc.

  • Dentist
  • Lancaster, CA
National Provider Identifier
1396266730
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52128 Issued in CA
Legal business name
VISTA DENTAL INC.
Practice address
44601 10TH St. West
Lancaster, CA 93534
Phone
(661) 948-0461
Fax
(661) 723-3684
NPI assigned
Jul 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Authorized official

Name
Tamara Bajj Vwich, DDS
Title
Dentist/Owner
Phone
(661) 948-0461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 52128 CA Primary

Addresses

Primary practice location

44601 10TH St. West
Lancaster, CA 93534

Mailing address

44601 10TH St. West
Lancaster, CA 93534
Phone (661) 948-0461

National Provider Directory

National Provider Directory

Locations

44601 10th St W
Lancaster, CA 93534
Phone (661) 948-0461

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": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1396266730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44601 10TH ST. WEST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-948-0461",
            "fax_number": "661-723-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44601 10TH ST. WEST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-948-0461",
            "fax_number": "661-723-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "VWICH",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "BAJJ",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "661-948-0461",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.