Organization Active NPI

L Cuestas Dental Corporation

Doing business as LC Dental Studio

  • General Practice Dentistry
  • Palm Desert, CA
National Provider Identifier
1477100022
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
L CUESTAS DENTAL CORPORATION
Doing business as
LC Dental Studio
Practice address
44853 Portola Ave
Palm Desert, CA 92260-3703
Phone
(760) 851-0643
NPI assigned
Aug 19, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Dr. Luz Cuestas, DDSNPI 1053300780
Title
Owner/Ceo
Phone
(760) 851-0643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

44853 Portola Ave
Palm Desert, CA 92260-3703

Mailing address

44853 Portola Ave
Palm Desert, CA 92260-3703
Phone (760) 851-0643

Other names 1

  • LC Dental Studio Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL dentrix.com Direct

National Provider Directory

National Provider Directory

Locations

44853 Portola Ave
Palm Desert, CA 92260
Phone (760) 851-0643

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": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1477100022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44853 PORTOLA AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603703",
            "telephone_number": "760-851-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44853 PORTOLA AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603703",
            "telephone_number": "760-851-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L CUESTAS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "CUESTAS",
        "authorized_official_first_name": "LUZ",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "760-851-0643",
        "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": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "dentrix.com",
            "affiliation": "N",
            "endpointDescription": "Dentrix",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Access Token",
            "address_1": "44853 Portola Ave",
            "city": "Palm Desert",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922603703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LC Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.