Active NPI
Brian M Lawton, DDS
- General Practice Dentistry
- Granite Bay, CA
National Provider Identifier
1760793731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25572
- Practice address
- 6965 Douglas Blvd
Granite Bay, CA 95746-6256 - Phone
- (916) 791-7998
- Fax
- (916) 791-5551
- NPI assigned
- Jun 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25572 | CA | Primary |
Addresses
Primary practice location
6965 Douglas Blvd
Granite Bay, CA 95746-6256
Mailing address
6965 Douglas Blvd
Granite Bay, CA 95746-6256
Phone (916) 791-7998
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25572 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1760793731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6965 DOUGLAS BLVD",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957466256",
"telephone_number": "916-791-7998",
"fax_number": "916-791-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6965 DOUGLAS BLVD",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957466256",
"telephone_number": "916-791-7998",
"fax_number": "916-791-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWTON",
"first_name": "BRIAN",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "25572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granite Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.