NPIMap

Organization Active NPI

Beach Cities Dental Group

  • Oral and Maxillofacial Pathology Dentistry
  • Oxnard, CA
National Provider Identifier
1861125122
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
Legal business name
BEACH CITIES DENTAL GROUP
Practice address
1801 Solar Dr Ste 290
Oxnard, CA 93030-0155
Phone
(310) 870-9652
Fax
(805) 278-8837
NPI assigned
Jul 5, 2022
Last updated
Jul 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Georgia Haddad, DDSNPI 1407084288
Title
Owner
Phone
(310) 870-9652

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X
Oral and Maxillofacial Pathology Dentistry 1223P0106X Primary

Addresses

Primary practice location

1801 Solar Dr Ste 290
Oxnard, CA 93030-0155

Mailing address

1801 Solar Dr Ste 290
Oxnard, CA 93030-0155
Phone (805) 278-8887

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1861125122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR STE 290",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300155",
            "telephone_number": "805-278-8887",
            "fax_number": "805-278-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR STE 290",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300155",
            "telephone_number": "310-870-9652",
            "fax_number": "805-278-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CITIES DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-870-9652",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.