NPIMap

Organization Active NPI

Nicolas Dental Corporation

  • Dentist
  • Lamont, CA
National Provider Identifier
1669793311
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40290 Issued in CA
Legal business name
NICOLAS DENTAL CORPORATION
Practice address
8003 Alicante Ave
Lamont, CA 93241-1712
Phone
(661) 845-2246
NPI assigned
Jun 17, 2010
Last updated
Sep 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Epifania Nicolas, DDSNPI 1962661611
Title
President
Phone
(714) 906-9116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40290 CA Primary

Addresses

Primary practice location

8003 Alicante Ave
Lamont, CA 93241-1712

Mailing address

8003 Alicante Ave
Lamont, CA 93241-1712
Phone (661) 845-2246

National Provider Directory

National Provider Directory
Tax ID family
Epifania V Nicolas5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8003 Alicante Ave
Lamont, CA 93241
Phone (661) 845-2246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1669793311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 ALICANTE AVE",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411712",
            "telephone_number": "661-845-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 ALICANTE AVE",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411712",
            "telephone_number": "661-845-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "EPIFANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-906-9116",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.