NPIMap

Organization Active NPI

Georgei Dental Group

Doing business as Copper Canyon Smiles

  • Health Maintenance Organization
  • Murrieta, CA
National Provider Identifier
1881095115
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
53453 Issued in CA
Legal business name
GEORGEI DENTAL GROUP
Doing business as
Copper Canyon Smiles
Practice address
23771 Washington Ave Ste H102
Murrieta, CA 92562-2265
Phone
(951) 691-5096
Fax
(951) 691-5097
NPI assigned
Sep 5, 2014
Last updated
Oct 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Rania GeorgeiNPI 1992946743
Title
Owner/DDS
Phone
(951) 691-5096

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
Health Maintenance Organization 302R00000X 53453 CA Primary

Addresses

Primary practice location

23771 Washington Ave Ste H102
Murrieta, CA 92562-2265

Mailing address

23771 Washington Ave Ste H102
Murrieta, CA 92562-2265
Phone (951) 691-5096

Other names 1

  • Copper Canyon Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Copper Canyon Smiles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1881095115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23771 WASHINGTON AVE STE H102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925622265",
            "telephone_number": "951-691-5096",
            "fax_number": "951-691-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23771 WASHINGTON AVE STE H102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925622265",
            "telephone_number": "951-691-5096",
            "fax_number": "951-691-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGEI DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "GEORGEI",
        "authorized_official_first_name": "RANIA",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "951-691-5096"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "53453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Canyon Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.