Brian L Danielsson DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIAN L DANIELSSON DDS PC

Doing business as

Ridgecrest Cosmetic Dentistry

Practice address

700A N Sanders St
Ridgecrest, CA 93555-3528

Phone

(760) 371-4800

Fax

(760) 371-4825

NPI assigned

Jun 3, 2022

Last updated

Jun 3, 2022By 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

Dr. Brian L Danielsson, DDSNPI 1184706509

Title

Ceo/Dentist

Phone

(760) 371-4800

Specialties & licenses 1

Addresses

Other names 1

• Ridgecrest Cosmetic Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Lory Danielsson, DDS

  • General Practice Dentistry
  • Ridgecrest, CA
  • NPI 1184706509
  NPD Authorized official
• Andrew Sanghwui Lee, DMD

  • Dentist
  • Apple Valley, CA
  • NPI 1215660311
  NPD (past)

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1801535067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700A N SANDERS ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553528",
            "telephone_number": "760-371-4800",
            "fax_number": "760-371-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700A N SANDERS ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553528",
            "telephone_number": "760-371-4800",
            "fax_number": "760-371-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN L DANIELSSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "DANIELSSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "760-371-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgecrest Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Branch Medical Clinic China Lake
• Skyler Brant
• Janna Bratton, PEER SUPPORT
• Tyler Daniel Breitigam
• Anne L Brett, D.D.S.
• Jaymie Britt, RDHAP
• Joshua A. Broad, P.A.
• Silvia Tijerina Brookes
• Maria Eleazar Brooks
• Marvin Buenaventura

• General Practice Dentistry in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.