NPIMap

Organization Active NPI

Lerian Dental Corporation

Doing business as Gentle Dental Daly City

  • General Practice Dentistry
  • Daly City, CA
National Provider Identifier
1457317018
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13847 Issued in CA
Legal business name
LERIAN DENTAL CORPORATION
Doing business as
Gentle Dental Daly City
Practice address
2171 Junipero Serra Blvd
#660
Daly City, CA 94014-1906
Phone
(650) 992-0440
Fax
(650) 992-3658
NPI assigned
Apr 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Faith Ramientos Tabujara
Title
Credentialing Coordinatos
Phone
(209) 476-4728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13847 CA Primary

Addresses

Primary practice location

2171 Junipero Serra Blvd
#660
Daly City, CA 94014-1906

Mailing address

555 W Benjamin Holt Dr
BLDG. B
Stockton, CA 95207-3839
Phone (209) 476-4700

Other names 1

  • Gentle Dental Daly City Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gentle Dental Daly City4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2171 Junipero Serra Blvd
Ste 660
Daly City, CA 94014
Phone (425) 623-0103

Practitioners & affiliated clinicians

Practitioners 1

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": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457317018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W BENJAMIN HOLT DR",
            "address_2": "BLDG. B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952073839",
            "telephone_number": "209-476-4700",
            "fax_number": "209-478-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JUNIPERO SERRA BLVD",
            "address_2": "#660",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141906",
            "telephone_number": "650-992-0440",
            "fax_number": "650-992-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LERIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TABUJARA",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "RAMIENTOS",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOS",
        "authorized_official_telephone_number": "209-476-4728",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "13847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental Daly City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daly City, CA

Sources for this page

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