Active NPI
T Lyons & J Rawlins DDS Inc
- Pediatric Dentistry
- Fair Oaks, CA
National Provider Identifier
1720628985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- El Dorado Hills, CA
- NPI 1851487995
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.