NPIMap

Organization Active NPI

La Paz Dentistry

  • General Practice Dentistry
  • Laguna Hills, CA
National Provider Identifier
1629387824
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31169 Issued in CA
Legal business name
LA PAZ DENTISTRY
Practice address
25200 La Paz Rd
Suite 109
Laguna Hills, CA 92653-5110
Phone
(949) 855-9525
Fax
(949) 707-3933
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Richard Wodiske, DDS
Title
Owner
Phone
(949) 855-9525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31169 CA Primary

Addresses

Primary practice location

25200 La Paz Rd
Suite 109
Laguna Hills, CA 92653-5110

Mailing address

25200 La Paz Rd
Suite 109
Laguna Hills, CA 92653-5110
Phone (949) 855-9525

National Provider Directory

National Provider Directory
Tax ID family
La Paz Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

25200 La Paz Rd
Ste 109
Laguna Hills, CA 92653
Phone (949) 855-9525

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1629387824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25200 LA PAZ RD",
            "address_2": "SUITE 109",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535110",
            "telephone_number": "949-855-9525",
            "fax_number": "949-707-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 LA PAZ RD",
            "address_2": "SUITE 109",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535110",
            "telephone_number": "949-855-9525",
            "fax_number": "949-707-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PAZ DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "WODISKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-855-9525",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.