West Coast Dental Group

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

76905 Issued in CA

Legal business name

WEST COAST DENTAL GROUP

Practice address

31419 Sunset Ave
Nuevo, CA 92567-8956

Phone

(951) 318-2013

NPI assigned

Mar 6, 2012

Last updated

Mar 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Nicole Carreon

Title

Registered Dental Assistant

Phone

(951) 318-2013

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1780958843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31419 SUNSET AVE",
            "city": "NUEVO",
            "state": "CA",
            "postal_code": "925678956",
            "telephone_number": "951-318-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31419 SUNSET AVE",
            "city": "NUEVO",
            "state": "CA",
            "postal_code": "925678956",
            "telephone_number": "951-318-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "CARREON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "REGISTERED DENTAL ASSISTANT",
        "authorized_official_telephone_number": "951-318-2013"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "76905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Assistant in Nuevo, CA
• Providers in Nuevo, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.