Edward M. Mikowicz D.D.S., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

27458 Issued in CA

Legal business name

EDWARD M. MIKOWICZ D.D.S., INC.

Practice address

112 South B St.
Lompoc, CA 93436

Phone

(805) 736-6571

Fax

(805) 737-5663

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward M. Mikowicz, D.D.S.NPI 1275675902

Title

President

Phone

(805) 736-6571

Specialties & licenses 1

Addresses

Locations

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.

• Edward M. Mikowicz, D.D.S.

  • General Practice Dentistry
  • Lompoc, CA
  • NPI 1275675902
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710029442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SOUTH B ST.",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-736-6571",
            "fax_number": "805-737-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SOUTH B ST.",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-736-6571",
            "fax_number": "805-737-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD M. MIKOWICZ D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIKOWICZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-736-6571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "27458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dane Dudley, DDS
• John Thomas Dunn
• Kathleen Mary Dupont, PA-C
• Nichole E Duran, SUDRC# 17835
• E-Eshora CCC, Inc.
• Dale Ethan Ekstrum, MD
• David S Elam, MA CCC SLP
• Nancy Revelli Elam, MA CCC SLP
• Elite Eyecare Medical Group a Medical Corporation (Kendall Optometry)
• Elite Eyecare Medical Group a Medical Corporation (Kendall-Shepard Optical)

• Dental Clinic/Center in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.