Individual provider Active NPI

Brian A Lassiter, DDS

  • Dentist
  • Orange, CA
National Provider Identifier
1861470544
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30834 Issued in CA
Practice address
705 W la Veta Ave
Ste 202
Orange, CA 92868-4402
Phone
(714) 997-2735
Fax
(714) 997-9022
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30834 CA Primary

Addresses

Primary practice location

705 W la Veta Ave
Ste 202
Orange, CA 92868-4402

Mailing address

705 W la Veta Ave
Ste 202
Orange, CA 92868-4402
Phone (714) 997-2735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723009568 CA Order and Referring Only - DentistPractitioner - Dentist 7911210695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861470544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE",
            "address_2": "STE 202",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684402",
            "telephone_number": "714-997-2735",
            "fax_number": "714-997-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE",
            "address_2": "STE 202",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684402",
            "telephone_number": "714-997-2735",
            "fax_number": "714-997-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSITER",
        "first_name": "BRIAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.