Mitchell/Zaw Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52309 Issued in CA

Legal business name

MITCHELL/ZAW DENTAL CORPORATION

Practice address

892 Oak Valley Parkway
Suite B
Beaumont, CA 92223

Phone

(951) 849-6300

Fax

(951) 849-0076

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Janelle Meredith Campbell

Title

Administrator

Phone

(951) 849-6300

Specialties & licenses 1

Addresses

Other names 1

• Oak Valley Plaza Dental Group Doing business as

Locations

Practitioners 1

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

• Caroline T. Le, DDS

  • Dentist
  • Rancho Cucamonga, CA
  • NPI 1164634754
  NPD (past)

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1437328564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 OAK VALLEY PARKWAY",
            "address_2": "SUITE B",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "92223",
            "telephone_number": "951-849-6300",
            "fax_number": "951-849-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 OAK VALLEY PARKWAY",
            "address_2": "SUITE B",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "92223",
            "telephone_number": "951-849-6300",
            "fax_number": "951-849-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL/ZAW DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_middle_name": "MEREDITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-849-6300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Valley Plaza Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mfi Wellwood Center
• Nellie Barbara Mgeni
• Jennie C Milliner, OTR/L
• Shyrea Minton
• Heidi Diana Mitchell, RN
• Mobilephlebotomytech
• Steven Muir Moffatt
• Florence A Mojica
• Augusta E Momodu
• Renee C Moncada, ASW

• General Practice Dentistry in Beaumont, CA
• Providers in Beaumont, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.