Organization Active NPI

T Lyons & J Rawlins DDS Inc

  • Pediatric Dentistry
  • Fair Oaks, CA
National Provider Identifier
1720628985
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
T LYONS & J RAWLINS DDS INC
Practice address
7806 Madison Ave Ste 200
Fair Oaks, CA 95628-3593
Phone
(916) 442-7873
NPI assigned
Jan 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Jen Saso
Title
Director of Operations
Phone
(916) 479-3432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

7806 Madison Ave Ste 200
Fair Oaks, CA 95628-3593

Mailing address

5010 Laguna Blvd # 100
Elk Grove, CA 95758-4197
Phone (916) 442-7873

Other names 1

  • Surfside Kids Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5010 Laguna Blvd
#100
Elk Grove, CA 95758

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1720628985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 LAGUNA BLVD # 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584197",
            "telephone_number": "916-442-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 MADISON AVE STE 200",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283593",
            "telephone_number": "916-442-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T LYONS & J RAWLINS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "SASO",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "916-479-3432"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surfside Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.