Individual provider Active NPI

Lonnie Sturkey Jr.

  • Dental Assistant
  • Victorville, CA
National Provider Identifier
1639668668
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
RDA85936 Issued in CA
Practice address
13629 Monterey CT
Victorville, CA 92392-6361
Phone
(760) 964-2056
NPI assigned
May 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X OA49112 CA
Dental Assistant 126800000X RDA85936 CA Primary

Addresses

Primary practice location

13629 Monterey CT
Victorville, CA 92392-6361

Mailing address

13629 Monterey CT
Victorville, CA 92392-6361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OA49112CAMDDental Assistant
RDA85936CAMDDental Assistant

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1639668668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13629 MONTEREY CT",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923926361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13629 MONTEREY CT",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923926361",
            "telephone_number": "760-964-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURKEY",
        "first_name": "LONNIE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "OA49112",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "RDA85936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.