Lenise N. Yarber D.D.S , Professional Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LENISE N. YARBER D.D.S , PROFESSIONAL DENTAL CORPORATION

Doing business as

The Children's Dental Specialist Ladera

Practice address

5035 W Slauson Ave Ste G
Los Angeles, CA 90056-1647

Phone

(323) 296-0211

NPI assigned

Jan 27, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Lenise N Yarber, DDS

Title

Ceo/Dentist

Phone

(310) 327-7969

Specialties & licenses 2

Addresses

Other names 1

• The Children's Dental Specialist Ladera Doing business as

Tax ID family

Children'S Dental Specialist Southbay2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lenise N. Yarber D.D.S , Professional Dental Corporation

  • Pediatric Dentistry
  • Carson, CA
  • NPI 1821411968
  NPD tax ID

Locations

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1407487622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 W SLAUSON AVE STE G",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 W SLAUSON AVE STE G",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561647",
            "telephone_number": "323-296-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENISE N. YARBER D.D.S , PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "YARBER",
        "authorized_official_first_name": "LENISE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "310-327-7969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Children's Dental Specialist Ladera",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lance R Lenford, PSY. D
• Elizabeth C. Lengel, RD, LD
• Fallon Lengson
• Selena Lenh
• Melanie J Lenington, PHD
• Elena Aleksandria Lenkova, PHARMD
• Charles Aloysius Lennon Jr., LCSW
• Rebbecca Lennon
• Caitlin Lennox, CCC-SLP
• Jason Jeremi Lennox

• Pediatric Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.