Organization Active NPI

Four Lions Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cathedral City, CA
National Provider Identifier
1609796994
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
FOUR LIONS DENTAL CORPORATION
Practice address
68100 Ramon Rd Ste A4
Cathedral City, CA 92234-3389
Phone
(703) 507-1820
NPI assigned
Jul 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Chad Henderson, DDS
Title
Owner/Orthodontist
Phone
(703) 507-1820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

68100 Ramon Rd Ste A4
Cathedral City, CA 92234-3389

Mailing address

74237 Royce Dr
Palm Desert, CA 92211-0874

National Provider Directory

National Provider Directory

Locations

68100 Ramon Rd
Ste A4
Cathedral City, CA 92234
Phone (760) 483-3344

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1609796994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74237 ROYCE DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68100 RAMON RD STE A4",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343389",
            "telephone_number": "703-507-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR LIONS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "703-507-1820",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.