Organization Active NPI

Lilya Vaisman DDS and Klara

  • General Practice Dentistry
  • Citrus Heights, CA
National Provider Identifier
1487788584
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2 34245 Issued in CA
Legal business name
LILYA VAISMAN DDS AND KLARA
Doing business as
citrus heights dental
Practice address
6994 Sunrise Blvd
Citrus Heights, CA 95610-3144
Phone
(916) 723-8900
Fax
(916) 723-5168
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Mrs. Lilya Vaisman, D.D.S.
Title
Dentist
Phone
(916) 723-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2 34245 CA Primary

Addresses

Primary practice location

6994 Sunrise Blvd
Citrus Heights, CA 95610-3144

Mailing address

6994 Sunrise Blvd
Citrus Heights, CA 95610-3144
Phone (916) 723-8900

Other identifiers 1

IdentifierTypeStateIssuer
D34245MedicaidCA

Other names 1

  • citrus heights dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1487788584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6994 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956103144",
            "telephone_number": "916-723-8900",
            "fax_number": "916-723-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6994 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956103144",
            "telephone_number": "916-723-8900",
            "fax_number": "916-723-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILYA VAISMAN DDS AND KLARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "VAISMAN",
        "authorized_official_first_name": "LILYA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "916-723-8900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "2 34245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D34245",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "citrus heights dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.