Brock Lorenz DMD Ms Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

BROCK LORENZ DMD MS INC

Practice address

16605 Devonshire St
Granada Hills, CA 91344-6651

Phone

(818) 366-4867

Fax

(818) 366-7964

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Brock J Lorenz, DMD MSNPI 1861839243

Title

President

Phone

(619) 804-8339

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Brock Jason Lorenz, D.M.D., M.S.

  • Periodontics
  • La Mesa, CA
  • NPI 1861839243
  Authorized official Same address or phone

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1811502057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PACIFIC COAST HWY UNIT 304",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 DEVONSHIRE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446651",
            "telephone_number": "818-366-4867",
            "fax_number": "818-366-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK LORENZ DMD MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "BROCK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-804-8339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Broadwater Rinaldi Care Center, LLC (Rinaldi Convalescent Hospital)
• Brooks Womens Center
• Marlon Brooks, MD
• Brougham Ambulance
• Shannon Broussalian, M.S., CCC-SLP
• Janet Broutian, PHARMD

• Periodontics in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.