NPIMap

Organization Active NPI

Lily a Namsinh DDS Apc.

  • Dentist
  • Garden Grove, CA
National Provider Identifier
1689091761
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38208 Issued in CA
Legal business name
LILY A NAMSINH DDS APC.
Doing business as
Lilyanamsinh DDS Apc.
Practice address
13945 Harbor Blvd
Garden Grove, CA 92843-4012
Phone
(714) 554-7123
Fax
(714) 554-3273
NPI assigned
Mar 26, 2014
Last updated
Nov 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Lily A Namsinh DDS Apc, DDS
Title
Owner
Phone
(714) 554-7123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38208 CA Primary

Addresses

Primary practice location

13945 Harbor Blvd
Garden Grove, CA 92843-4012

Mailing address

13945 Harbor Blvd
Garden Grove, CA 92843-4012
Phone (714) 554-7123

Other identifiers 1

IdentifierTypeStateIssuer
B3820801MedicaidCA

Other names 1

  • LILYANAMSINH DDS APC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harborfamilydental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

13945 Harbor Blvd
Garden Grove, CA 92843
Phone (714) 554-7123

Practitioners & affiliated clinicians

Practitioners 2

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": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1689091761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13945 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434012",
            "telephone_number": "714-554-7123",
            "fax_number": "714-554-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13945 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434012",
            "telephone_number": "714-554-7123",
            "fax_number": "714-554-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY A NAMSINH DDS APC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "NAMSINH DDS APC",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-554-7123",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B3820801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LILYANAMSINH DDS APC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.