Tibbitts Temecula Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TIBBITTS TEMECULA DENTAL GROUP

Practice address

32909 Temecula Parkway Ste 102
Temecula, CA 92592

Phone

(951) 972-8080

Fax

(951) 395-0301

NPI assigned

Oct 16, 2018

Organization subpart

No

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

Authorized official

Name

Valerie A Rogers

Title

Office Manager

Phone

(951) 677-5113

Specialties & licenses 1

Addresses

Other names 1

• Dr Andrew Tibbitts DDS 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.

• Knieeka Shanell Jake-Pacheco, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bryan, TX
  • NPI 1063645745
  NPD (past)

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1477029502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32909 TEMECULA PKWY STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926907",
            "telephone_number": "951-972-8080",
            "fax_number": "951-972-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32909 TEMECULA PARKWAY STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-972-8080",
            "fax_number": "951-395-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIBBITTS TEMECULA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-677-5113"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Andrew Tibbitts DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thrive Within Counseling Family Services Inc
• Matthew Throop
• David Michael Thurman, LMFT, LAADC
• Mallory Joye Thysell, AMFT
• Matthew Tiacharoen, MD
• M'Shadaysional Deziona Tibbs, BT
• Margaret Mary Ticich, MACCC
• Nicole Tiedt, LPCC
• Ashlee Nicole Tieto, OTR/L
• Tiffani Taft MFT, Inc.

• Dental Clinic/Center in Temecula, CA
• Providers in Temecula, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.