JP Schaeffer Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43855 Issued in CA

Legal business name

JP SCHAEFFER DENTAL CORPORATION

Doing business as

Mission Dental Group

Practice address

26 S Garden St Ste I
Ventura, CA 93001-4524

Phone

(805) 648-1090

Fax

(805) 641-9130

NPI assigned

Jun 25, 2015

Last updated

Jun 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James P Schaeffer, D.D.S.

Title

President

Phone

(805) 648-1090

Specialties & licenses 1

Addresses

Other names 1

• Mission Dental Group Doing business as

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1700268869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S GARDEN ST STE I",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930014524",
            "telephone_number": "805-648-1090",
            "fax_number": "805-641-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S GARDEN ST STE I",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930014524",
            "telephone_number": "805-648-1090",
            "fax_number": "805-641-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP SCHAEFFER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "SCHAEFFER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-648-1090",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Ventura, CA
• Providers in Ventura, 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 Jun 25, 2015; 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.