Lance Hamilton, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

29712 Issued in CA

Practice address

234 E 17TH St Ste 107
Costa Mesa, CA 92627-3854

Phone

(949) 650-6646

Fax

(949) 650-2451

NPI assigned

Nov 14, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lance D. Hamilton, D.D.S., Inc.

  • General Practice Dentistry
  • Costa Mesa, CA
  • NPI 1972704740
  NPD (past) Authorized official

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1629408489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E 17TH ST STE 107",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273854",
            "telephone_number": "949-650-6646",
            "fax_number": "949-650-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 17TH ST STE 107",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273854",
            "telephone_number": "949-650-6646",
            "fax_number": "949-650-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "29712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danica Noel Halverson, P.T.A.
• Syed Muhammed Zeeshan Hamdani
• Melanie Hamel
• Chris Fay Hamelberg
• Sohil Hamid
• Juliana Hamon
• Anna Hamp
• Shelley H Han, M.D.
• Xu Han
• Melissa Ann Hancock, M.S., BCBA

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

• 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.