Organization Active NPI

Kids 2 Dentist LLC

  • Dentist
  • Visalia, CA
National Provider Identifier
1578214680
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KIDS 2 DENTIST LLC
Practice address
1814 N Dinuba Blvd
Visalia, CA 93291-3014
Phone
(323) 203-2564
NPI assigned
Jan 11, 2022
Last updated
Jan 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Jerry Lee LanierNPI 1356489660
Title
Member
Phone
(323) 461-9942

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
Dentist 122300000X Primary

Addresses

Primary practice location

1814 N Dinuba Blvd
Visalia, CA 93291-3014

Mailing address

5449 Hollywood Blvd Ste a
Los Angeles, CA 90027-3454
Phone (323) 203-2564

National Provider Directory

National Provider Directory

Locations

1814 N Dinuba Blvd
Visalia, CA 93291
Phone (323) 203-2564

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1578214680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 HOLLYWOOD BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273454",
            "telephone_number": "323-203-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 N DINUBA BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932913014",
            "telephone_number": "323-203-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS 2 DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "323-461-9942"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.