Active NPI
Christian F Lassen, D.D.S.
- Dentist
- Camarillo, CA
National Provider Identifier
1548548837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60591
- Practice address
- 1422 Palmer Ave
Camarillo, CA 93010-3328 - Phone
- (805) 444-6466
- NPI assigned
- Aug 3, 2011
- Last updated
- Aug 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60591 | CA | Primary |
Addresses
Primary practice location
1422 Palmer Ave
Camarillo, CA 93010-3328
Mailing address
1422 Palmer Ave
Camarillo, CA 93010-3328
Phone (805) 444-6466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60591 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1548548837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 PALMER AVE",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930103328",
"telephone_number": "805-444-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 PALMER AVE",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930103328",
"telephone_number": "805-444-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSEN",
"first_name": "CHRISTIAN",
"middle_name": "F",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-03",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.