James Lake DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59657 Issued in CA

Legal business name

JAMES LAKE DDS INC

Practice address

57340 29 Palms Hwy
Yucca Valley, CA 92284-2927

Phone

(760) 365-0774

Fax

(760) 365-3995

NPI assigned

May 16, 2018

Organization subpart

No

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

Authorized official

Name

James Alan Lake, DDS

Title

President

Phone

(760) 365-0774

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1659861599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57340 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842927",
            "telephone_number": "760-365-0774",
            "fax_number": "760-365-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57340 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842927",
            "telephone_number": "760-365-0774",
            "fax_number": "760-365-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES LAKE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-365-0774",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Lisa Infante
• Institute of Advanced Studies
• Integrated Therapeutic Services
• Alison Turquoise Irwin, CMT
• Alison Iwaskow, LMFT
• Kimberly Jasem, LMT
• Peter Jastermsky, LCSW
• Constance Jensen
• Andrea M. Jimenez
• Ramona Naomi Jimenez

• General Practice Dentistry in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.