NPIMap

Organization Active NPI

Reyes and Lago Professional Dental Corporation

Doing business as Lyons Dental Place

  • Dentist
  • Valencia, CA
National Provider Identifier
1396917498
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53268 Issued in CA
Legal business name
REYES AND LAGO PROFESSIONAL DENTAL CORPORATION
Doing business as
Lyons Dental Place
Practice address
25846 McBean Pkwy
Valencia, CA 91355-2004
Phone
(661) 259-0600
Fax
(661) 259-0633
NPI assigned
Mar 28, 2008
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Vivienne Cruz Lago, DDSNPI 1023184074
Title
Secretary
Phone
(661) 259-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53268 CA Primary

Addresses

Primary practice location

25846 McBean Pkwy
Valencia, CA 91355-2004

Mailing address

25846 McBean Pkwy
Valencia, CA 91355-2004
Phone (661) 259-0600

Other names 1

  • Lyons Dental Place Doing business as

National Provider Directory

National Provider Directory

Locations

25846 McBean Pkwy
Valencia, CA 91355
Phone (661) 259-0600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1396917498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25846 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552004",
            "telephone_number": "661-259-0600",
            "fax_number": "661-259-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25846 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552004",
            "telephone_number": "661-259-0600",
            "fax_number": "661-259-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYES AND LAGO PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "LAGO",
        "authorized_official_first_name": "VIVIENNE",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "661-259-0600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyons Dental Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.