McAninch Dental Group, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

62204 Issued in CA

Legal business name

MCANINCH DENTAL GROUP, INC.

Practice address

1111 East Ocean Avenue
Suite 9
Lompoc, CA 93436

Phone

(805) 735-3665

Fax

(805) 735-5665

NPI assigned

Mar 23, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David Lewis McAninch IV, DDS

Title

President

Phone

(805) 735-3665

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1528599305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EAST OCEAN AVENUE",
            "address_2": "SUITE 9",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-735-3665",
            "fax_number": "805-735-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 EAST OCEAN AVENUE",
            "address_2": "SUITE 9",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-735-3665",
            "fax_number": "805-735-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCANINCH DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "MCANINCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-735-3665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "62204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Jessie Martinez-Baker, D.C.
• Faustina Cordova Martinez
• Maria D. Martinez
• Megan Masters
• Christy Mayfield, P.A.
• David L McAninch III, MD
• David Lewis McAninch IV, DDS
• Katie Lyn McBain, LMFT
• Avery McBride
• Jared Dee McCune, DDS

• Oral and Maxillofacial Surgery (Dentist) in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.