NPIMap

Organization Active NPI

Star Tek Adult Dental Group

  • General Practice Dentistry
  • Delano, CA
National Provider Identifier
1780437996
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STAR TEK ADULT DENTAL GROUP
Practice address
815 Cecil Ave
Delano, CA 93215-1716
Phone
(323) 203-2564
NPI assigned
Apr 8, 2024
Organization subpart
Yes
Parent organization
JERRY L LANIER, DDS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Mrs. Michelle Ammons, HR
Title
Administator
Phone
(661) 312-1433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

815 Cecil Ave
Delano, CA 93215-1716

Mailing address

5449 Hollywood Blvd Ste a
Los Angeles, CA 90027-3454
Phone (323) 203-2564

Other names 2

  • Jerry Lanier, DDS, Inc Doing business as
  • Star Tek Adult Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jerry L Lanier DDS Inc22 organizations share this tax ID, including this one
Part of
Jerry L Lanier DDS Inc

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1780437996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 HOLLYWOOD BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273454",
            "telephone_number": "323-203-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CECIL AVE",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932151716",
            "telephone_number": "323-203-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR TEK ADULT DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JERRY L LANIER, DDS, INC",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "AMMONS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "661-312-1433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HR"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerry Lanier, DDS, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Star Tek Adult Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.