Organization Active NPI

Lindy B Bixby DDS, Incorporated

  • General Practice Dentistry
  • Capitola, CA
National Provider Identifier
1487984050
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42122 Issued in CA
Legal business name
LINDY B BIXBY DDS, INCORPORATED
Practice address
824 Bay Ave
Suite 30
Capitola, CA 95010-2104
Phone
(831) 464-4222
Fax
(831) 464-4225
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Lindy BixbyNPI 1629083597
Title
DDS
Phone
(831) 464-4222

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 42122 CA Primary

Addresses

Primary practice location

824 Bay Ave
Suite 30
Capitola, CA 95010-2104

Mailing address

824 Bay Ave
Suite 30
Capitola, CA 95010-2104
Phone (831) 464-4222

National Provider Directory

National Provider Directory

Locations

824 Bay Ave
Ste 30
Capitola, CA 95010
Phone (831) 464-4222

Practitioners & affiliated clinicians

Practitioners 1

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": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1487984050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 BAY AVE",
            "address_2": "SUITE 30",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102104",
            "telephone_number": "831-464-4222",
            "fax_number": "831-464-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 BAY AVE",
            "address_2": "SUITE 30",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102104",
            "telephone_number": "831-464-4222",
            "fax_number": "831-464-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDY B BIXBY DDS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "BIXBY",
        "authorized_official_first_name": "LINDY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "831-464-4222"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.