Active NPI
N Ozder DDS Inc
- Dental Clinic/Center
- Hemet, CA
National Provider Identifier
1922580844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- N OZDER DDS INC
- Practice address
- 250 S Lyon Ave Ste B
Hemet, CA 92543-3871 - Phone
- (951) 658-2354
- Fax
- (951) 652-3436
- NPI assigned
- Sep 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Necdet Ozder, DDS
- Title
- Ceo
- Phone
- (661) 202-0454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
250 S Lyon Ave Ste B
Hemet, CA 92543-3871
Mailing address
1530 E Golden Valley Way
Fresno, CA 93730-3587
Phone (661) 202-0454
Other names 1
- Diamond Lake Dental
National Provider Directory
National Provider DirectoryLocations
250 S Lyon Ave
Ste B
Hemet, CA 92543
Phone (951) 658-2354
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Hemet, CA
- NPI 1962512905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592524800000",
"number": "1922580844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 E GOLDEN VALLEY WAY",
"city": "FRESNO",
"state": "CA",
"postal_code": "937303587",
"telephone_number": "661-202-0454",
"fax_number": "559-475-0389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S LYON AVE STE B",
"city": "HEMET",
"state": "CA",
"postal_code": "925433871",
"telephone_number": "951-658-2354",
"fax_number": "951-652-3436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N OZDER DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-06",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A",
"authorized_official_last_name": "OZDER",
"authorized_official_first_name": "NECDET",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "661-202-0454",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Diamond Lake Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.