South West TMJ Speciality Group

Primary specialty

DentistTaxonomy code 122300000X

License

24774 Issued in CA

Legal business name

SOUTH WEST TMJ SPECIALITY GROUP

Practice address

74976 US Highway 111
Indian Wells, CA 92210-7117

Phone

(760) 341-2873

Fax

(760) 341-2917

NPI assigned

Jun 3, 2016

Organization subpart

No

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

Authorized official

Name

Leonard Feld, DDS

Title

Owner

Phone

(760) 341-2873

Specialties & licenses 1

Addresses

Other names 1

• Indian Wells Smiles Doing business as

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1659729358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74976 US HIGHWAY 111",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107117",
            "telephone_number": "760-341-2873",
            "fax_number": "760-341-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74976 US HIGHWAY 111",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107117",
            "telephone_number": "760-341-2873",
            "fax_number": "760-341-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WEST TMJ SPECIALITY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "FELD",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-341-2873",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "24774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Wells Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amanda Steiger, M.A., MFT
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• Dentist in Indian Wells, CA
• Providers in Indian Wells, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.