NPIMap

Organization Active NPI

Lentejas Dental Corporation

  • Dentist
  • Lake Elsinore, CA
National Provider Identifier
1548626344
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46098 Issued in CA
Legal business name
LENTEJAS DENTAL CORPORATION
Practice address
31571 Canyon Estates Dr
Suite 208
Lake Elsinore, CA 92532-0468
Phone
(951) 245-4900
Fax
(951) 525-4499
NPI assigned
Jan 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Authorized official

Name
Dr. Juliet Lentejas, DMD
Title
President
Phone
(951) 214-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 46098 CA Primary

Addresses

Primary practice location

31571 Canyon Estates Dr
Suite 208
Lake Elsinore, CA 92532-0468

Mailing address

31571 Canyon Estates Dr
Suite 208
Lake Elsinore, CA 92532-0468
Phone (951) 245-4900

Other names 1

  • Discovery Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Discovery Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

31571 Canyon Estates Dr
Ste 208
Lake Elsinore, CA 92532
Phone (951) 245-4900

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1548626344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31571 CANYON ESTATES DR",
            "address_2": "SUITE 208",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320468",
            "telephone_number": "951-245-4900",
            "fax_number": "951-525-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31571 CANYON ESTATES DR",
            "address_2": "SUITE 208",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320468",
            "telephone_number": "951-245-4900",
            "fax_number": "951-525-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENTEJAS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "LENTEJAS",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-214-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.