NPIMap

Organization Active NPI

John H. Lake, D.D.S. Inc

  • General Practice Dentistry
  • Palm Springs, CA
National Provider Identifier
1790154201
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN H. LAKE, D.D.S. INC
Practice address
345 E Tachevah Dr
Suite 1
Palm Springs, CA 92262-5742
Phone
(760) 327-1138
Fax
(760) 327-2826
NPI assigned
Sep 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Deanna Calder
Title
Human Resources
Phone
(760) 327-1138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

345 E Tachevah Dr
Suite 1
Palm Springs, CA 92262-5742

Mailing address

345 E Tachevah Dr
Suite 1
Palm Springs, CA 92262-5742
Phone (760) 327-1138

National Provider Directory

National Provider Directory

Locations

345 E Tachevah Dr
Ste 1
Palm Springs, CA 92262
Phone (760) 327-1138

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1790154201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E TACHEVAH DR",
            "address_2": "SUITE 1",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625742",
            "telephone_number": "760-327-1138",
            "fax_number": "760-327-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E TACHEVAH DR",
            "address_2": "SUITE 1",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625742",
            "telephone_number": "760-327-1138",
            "fax_number": "760-327-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H. LAKE, D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "CALDER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "760-327-1138"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.