Regents Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

REGENTS DENTAL GROUP

Practice address

4150 Regents Park Row
Suite 215
La Jolla, CA 92037

Phone

(858) 587-9077

Fax

(858) 587-4663

NPI assigned

Dec 4, 2019

Last updated

Dec 4, 2019By 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. Stephen Everett Lockwood, DMDNPI 1184837932

Title

Business Partner/Dentist

Phone

(858) 587-9077

Specialties & licenses 1

Addresses

Other names 1

• Stephen Lockwood, DMD, Inc Former legal business name

Locations

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.

• Stephen Everett Lockwood, D.M.D., M.A.G.D.

  • General Practice Dentistry
  • La Jolla, CA
  • NPI 1184837932
  Authorized official Same address or phone

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1821635285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW",
            "address_2": "SUITE 215",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-587-9077",
            "fax_number": "858-587-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW",
            "address_2": "SUITE 215",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-587-9077",
            "fax_number": "858-587-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "LOCKWOOD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "BUSINESS PARTNER/DENTIST",
        "authorized_official_telephone_number": "858-587-9077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen Lockwood, DMD, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kristie Lynn Reed, PHD
• William Henry Reed, MD
• Susan Reeder, LCSW
• Grace Reego, DACM, L.AC.
• Robert A Rees, DDS
• Regents of the University of California (UCSD Medical Center)
• Regents of the University of California (UCSD Student Health Services)
• Regents of the University of California (Koman Family Outpatient Pavilion)
• Regents of the University of California (Ucsd Moores Cancer Center)
• Regents of the University of California-Ucsd Ambulatory Care Pharmacy (The Edith & William Perlman Acc Pharmacy)

• Dental Clinic/Center in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.