Individual provider Active NPI

Lile Bunar, D.D.S.

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
National Provider Identifier
1740480151
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42528 Issued in CA
Practice address
22461 Antonio Pkwy
Suite a-135
Rancho Santa Margarita, CA 92688-2806
Phone
(949) 589-3344
Fax
(949) 589-7119
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42528 CA Primary

Addresses

Primary practice location

22461 Antonio Pkwy
Suite a-135
Rancho Santa Margarita, CA 92688-2806

Mailing address

22461 Antonio Pkwy
Suite a-135
Rancho Santa Margarita, CA 92688-2806
Phone (949) 589-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42528CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1740480151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22461 ANTONIO PKWY",
            "address_2": "SUITE A-135",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882806",
            "telephone_number": "949-589-3344",
            "fax_number": "949-589-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22461 ANTONIO PKWY",
            "address_2": "SUITE A-135",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882806",
            "telephone_number": "949-589-3344",
            "fax_number": "949-589-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNAR",
        "first_name": "LILE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.