Lake Murray Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

39643 Issued in CA

Legal business name

LAKE MURRAY DENTAL GROUP

Practice address

5308 Lake Murray Blvd
Ste C
La Mesa, CA 91942-1334

Phone

(619) 464-4411

Fax

(619) 464-2323

NPI assigned

Aug 5, 2007

Last updated

Aug 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sean Sohail Hakimi, D.D.S.

Title

Owner

Phone

(661) 255-3130

Specialties & licenses 1

Addresses

Tax ID family

Lake Murray Dental Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• S. Hakimi, DDS a Professional Corp

  dba Stockton Dental Group

  • Dental Clinic/Center
  • Stockton, CA
  • NPI 1013160530
  NPD tax ID
• Stockton Dental Group

  • Dentist
  • Stockton, CA
  • NPI 1356532626
  NPD tax ID

Locations

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.

• Navid Hajiseyed Javadi, D.M.D

  • General Practice Dentistry
  • La Mesa, CA
  • NPI 1336138296
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1629269998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55368",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913850368",
            "telephone_number": "661-255-3130",
            "fax_number": "661-451-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 LAKE MURRAY BLVD",
            "address_2": "STE C",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421334",
            "telephone_number": "619-464-4411",
            "fax_number": "619-464-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MURRAY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "HAKIMI",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "SOHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-255-3130",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Mark Lafferty, M.D.
• Jonathan Lahuynh, APRN
• Maria Elena Lai, M.D.
• Michael Lajin, M.D.
• Robert B Lajvardi, MD
• John Russell Lake, M.D.
• Haris Lakisic, DDS
• Kylan Lakshas
• Steven Lala, DACM
• Cierra Lancaster

• Dentist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.