NPIMap

Organization Active NPI

H. Botshekan D.D.S

Doing business as El Toro Dental Care

  • General Practice Dentistry
  • Lake Forest, CA
National Provider Identifier
1629408430
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55171, DENTIST Issued in CA
Legal business name
H. BOTSHEKAN D.D.S
Doing business as
El Toro Dental Care
Practice address
23823 El Toro Rd. Sute E-122
El Toro Dental Care
Lake Forest, CA 92630
Phone
(949) 855-9212
Fax
(949) 855-9272
NPI assigned
Nov 14, 2013
Last updated
Nov 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Dr. Holly Botshekan, D.D.S.
Title
Dentist/Owner
Phone
(480) 221-6475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55171, DENTIST CA Primary

Addresses

Primary practice location

23823 El Toro Rd. Sute E-122
El Toro Dental Care
Lake Forest, CA 92630

Mailing address

23823 El Toro Rd. Sute E-122
El Toro Dental Care
Lake Forest, CA 92630
Phone (949) 855-9212

Other names 1

  • El Toro Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1629408430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 EL TORO RD. SUTE E-122",
            "address_2": "EL TORO DENTAL CARE",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "92630",
            "telephone_number": "949-855-9212",
            "fax_number": "949-855-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 EL TORO RD. SUTE E-122",
            "address_2": "EL TORO DENTAL CARE",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "92630",
            "telephone_number": "949-855-9212",
            "fax_number": "949-855-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. BOTSHEKAN D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "BOTSHEKAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "480-221-6475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55171, DENTIST",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Toro Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.