Active NPI
Nash Sourial, D.D.S.
- Dentist
- La Quinta, CA
National Provider Identifier
1699931394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57395
- Practice address
- 79845 Highway 111
Suite 101
La Quinta, CA 92253-4758 - Phone
- (760) 342-2258
- NPI assigned
- Aug 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 57395 | CA | Primary |
Addresses
Primary practice location
79845 Highway 111
Suite 101
La Quinta, CA 92253-4758
Mailing address
PO Box 5393
La Quinta, CA 92248-5393
Phone (760) 342-2258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57395 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nash Sourial DDS Inc | Dentist | Current | Accepting new patients |
Locations
79845 Highway 111
Ste 101
La Quinta, CA 92253
Phone (760) 342-2258
Interoperability endpoints
- nsourial@direct.westerndental.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1699931394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5393",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922485393",
"telephone_number": "760-342-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79845 HIGHWAY 111",
"address_2": "SUITE 101",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922534758",
"telephone_number": "760-342-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOURIAL",
"first_name": "NASH",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-01",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Quinta, CA
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- Karen Renee Snake
- Social Services of Southern California a Licensed Clinical Social Work (Your Space Counseling)
- Delos Soehren Jr., D.C.
- Rita Soto, DDA
- Kari Elizabeth Sower, NP
- Balachandran Dobli Srinivasan, MD, MD
- St Mary Corp Inc (Pharmacy of the Desert)
- Parker Lewis Stanway, DMD
- Star Orthopaedics, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.