NPIMap

Organization Active NPI

Lori J Nettleton D.D.S., Inc

Doing business as La Jolla Shores Dental

  • Dental Clinic/Center
  • La Jolla, CA
National Provider Identifier
1629244694
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
32883 Issued in CA
Legal business name
LORI J NETTLETON D.D.S., INC
Doing business as
La Jolla Shores Dental
Practice address
8100 Paseo del Ocaso
Suite a
La Jolla, CA 92037-3115
Phone
(858) 459-9772
Fax
(858) 459-9774
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Dr. Lori Jean Nettleton, D.D.S.NPI 1033385000
Title
Doctor/Owner
Phone
(858) 459-9772

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
Dental Clinic/Center 261QD0000X 32883 CA Primary

Addresses

Primary practice location

8100 Paseo del Ocaso
Suite a
La Jolla, CA 92037-3115

Mailing address

8100 Paseo del Ocaso
Suite a
La Jolla, CA 92037-3115
Phone (858) 459-9772

Other names 1

  • La Jolla Shores Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8100 Paseo del Ocaso
Ste A
La Jolla, CA 92037
Phone (858) 459-9772

Practitioners & affiliated clinicians

Practitioners 2

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": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1629244694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 PASEO DEL OCASO",
            "address_2": "SUITE A",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920373115",
            "telephone_number": "858-459-9772",
            "fax_number": "858-459-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 PASEO DEL OCASO",
            "address_2": "SUITE A",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920373115",
            "telephone_number": "858-459-9772",
            "fax_number": "858-459-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI J NETTLETON D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "NETTLETON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "858-459-9772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "32883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Jolla Shores Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.