NPIMap

Organization Active NPI

Microendodontics

  • Endodontics
  • Vista, CA
National Provider Identifier
1609103969
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
54897 Issued in CA
Legal business name
MICROENDODONTICS
Practice address
145 Cedar Rd
Ste C
Vista, CA 92083-5103
Phone
(760) 726-3973
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Lauren Sherman
Title
Office Manager
Phone
(760) 726-3973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 54897 CA Primary

Addresses

Primary practice location

145 Cedar Rd
Ste C
Vista, CA 92083-5103

Mailing address

145 Cedar Rd
Ste C
Vista, CA 92083-5103
Phone (760) 726-3973

National Provider Directory

National Provider Directory

Locations

145 Cedar Rd
Ste C
Vista, CA 92083
Phone (760) 726-3973

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": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1609103969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CEDAR RD",
            "address_2": "STE C",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835103",
            "telephone_number": "760-726-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CEDAR RD",
            "address_2": "STE C",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835103",
            "telephone_number": "760-726-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICROENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-726-3973"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "54897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.