NPIMap

Organization Active NPI

Callaway-Nelson Lemmon Valley Dental Group PC

Doing business as Lemmon Valley Dental Group

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1447636378
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CALLAWAY-NELSON LEMMON VALLEY DENTAL GROUP PC
Doing business as
Lemmon Valley Dental Group
Practice address
17000 Red Hill Ave
Irvine, CA 92614-5626
Phone
(714) 845-8890
Fax
(949) 474-1495
NPI assigned
Aug 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Dr. Cari A Callaway-Nelson, DDS
Title
Owner Dentist
Phone
(775) 971-9282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

17000 Red Hill Ave
Irvine, CA 92614-5626

Mailing address

280 Vista Knoll Pkwy
114
Reno, NV 89506-5594
Phone (775) 971-9282

Other names 1

  • Lemmon Valley Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

280 Vista Knoll Pkwy
Ste 114
Reno, NV 89506
Phone (775) 384-0074

Practitioners & affiliated clinicians

Practitioners 9

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": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1447636378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 VISTA KNOLL PKWY",
            "address_2": "114",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895065594",
            "telephone_number": "775-971-9282",
            "fax_number": "775-971-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAWAY-NELSON LEMMON VALLEY DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY-NELSON",
        "authorized_official_first_name": "CARI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "775-971-9282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lemmon Valley Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.