NPIMap

Organization Active NPI

Mowrey Dental Corporation

Doing business as La Quinta Dental Group

  • General Practice Dentistry
  • La Quinta, CA
National Provider Identifier
1851485635
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOWREY DENTAL CORPORATION
Doing business as
La Quinta Dental Group
Practice address
78595 Highway 111
Ste. 300
La Quinta, CA 92253-2084
Phone
(760) 771-0300
Fax
(760) 771-0420
NPI assigned
Oct 3, 2006
Last updated
Jan 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Dr. Brian L Mowrey, DDSNPI 1891806287
Title
Owner DDS
Phone
(760) 771-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

78595 Highway 111
Ste. 300
La Quinta, CA 92253-2084

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

Other names 1

  • LA QUINTA DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

78595 Highway 111
Ste 300
La Quinta, CA 92253
Phone (760) 771-0300

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1851485635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78595 HIGHWAY 111",
            "address_2": "STE. 300",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532084",
            "telephone_number": "760-771-0300",
            "fax_number": "760-771-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOWREY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "MOWREY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "760-771-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA QUINTA DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.