Menifee Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

63274 Issued in CA

Legal business name

MENIFEE ENDODONTICS

Practice address

27174 Newport Rd Ste 1
Menifee, CA 92584-7384

Phone

(951) 723-8801

NPI assigned

Feb 9, 2017

Organization subpart

Yes

Parent organization

CUCAMONGA PEAK ENDODONTICSAs reported in NPPES

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

Authorized official

Name

Jaehoon Lee, DMD

Title

Endodontist

Phone

(909) 945-5262

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Cucamonga Peak Endodontics

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cucamonga Peak Endodontics

  • Endodontics
  • Rancho Cucamonga, CA
  • NPI 1376928481
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Uson Sarno, DDS

  • Endodontics
  • Menifee, CA
  • NPI 1699733931
  NPD (past)

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1639617632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27174 NEWPORT RD STE 1",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847384",
            "telephone_number": "909-945-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27174 NEWPORT RD STE 1",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847384",
            "telephone_number": "951-723-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENIFEE ENDODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUCAMONGA PEAK ENDODONTICS",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAEHOON",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "909-945-5262",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "54854",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "63274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENDODONTIST",
            "identifier": "1376928481",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Mendiola
• Erica Mendoza
• Mila Tran Mendoza, NURSE PRACTITIONER
• Noemi Sylvia Mendoza, NP
• Menifee Assisted Living, LLC
• Menifee Hearing Aid LLC
• Menifee Laser Center, Inc.
• Menifee Post Acute LLC
• Menifee Union Esd
• Menifee Valley Optometry PC

• Endodontics in Menifee, CA
• Providers in Menifee, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.