Organization Active NPI

Lautt & Ilapogu a Professional Dental Corporation

Doing business as Coastal Orthodontic Care II

  • Dental Clinic/Center
  • Ventura, CA
National Provider Identifier
1740325836
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LAUTT & ILAPOGU A PROFESSIONAL DENTAL CORPORATION
Doing business as
Coastal Orthodontic Care II
Practice address
1730 S Victoria Ave Ste 250
Ventura, CA 93003-6167
Phone
(805) 650-1080
Fax
(805) 650-1087
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Adam Gary Lautt, D.D.S., M.S., INC.NPI 1265577332
Title
President
Phone
(805) 650-1080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1730 S Victoria Ave Ste 250
Ventura, CA 93003-6167

Mailing address

1730 S Victoria Ave Ste 250
Ventura, CA 93003-6167
Phone (805) 650-1080

Other names 1

  • Coastal Orthodontic Care II Doing business as

National Provider Directory

National Provider Directory

Locations

1730 S Victoria Ave
Ste 250
Ventura, CA 93003
Phone (805) 650-1080

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740325836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 S VICTORIA AVE STE 250",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036167",
            "telephone_number": "805-650-1080",
            "fax_number": "805-650-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S VICTORIA AVE STE 250",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036167",
            "telephone_number": "805-650-1080",
            "fax_number": "805-650-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUTT & ILAPOGU A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAUTT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-650-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S., INC."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Orthodontic Care II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • 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.