Organization Active NPI

Lindsay a. Bancroft, D.D.S., Inc.

  • Dentist
  • San Diego, CA
National Provider Identifier
1619372703
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60840 Issued in CA
Legal business name
LINDSAY A. BANCROFT, D.D.S., INC.
Practice address
12750 Carmel Country Rd Ste 206
San Diego, CA 92130-2171
Phone
(858) 755-3780
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Dr. Lindsay Bancroft, DDS
Title
Ceo
Phone
(716) 432-9554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60840 CA Primary

Addresses

Primary practice location

12750 Carmel Country Rd Ste 206
San Diego, CA 92130-2171

Mailing address

12750 Carmel Country Rd Ste 206
San Diego, CA 92130-2171
Phone (858) 755-3780

National Provider Directory

National Provider Directory

Locations

12750 Carmel Country Rd
Ste 206
San Diego, CA 92130
Phone (858) 755-3780

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": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1619372703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302171",
            "telephone_number": "858-755-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302171",
            "telephone_number": "858-755-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY A. BANCROFT, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-432-9554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "60840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.