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

Organization subpart

No

Name

Lauren Nicole Carreon

Title

Registered Dental Assistant

Phone

(951) 318-2013

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2012.

{
    "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "76905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Nuevo, CA
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• 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.