Organization Active NPI

Rowena V. Layson DMD, Inc Dba Great Smile Dental Office

  • Dental Clinic/Center
  • Corona, CA
National Provider Identifier
1942020946
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROWENA V. LAYSON DMD, INC DBA GREAT SMILE DENTAL OFFICE
Practice address
1255 Magnolia Ave Ste 105
Corona, CA 92879-5004
Phone
(951) 736-7413
Fax
(951) 736-7960
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Dr. Rowena V Layson, DMDNPI 1437369329
Title
President
Phone
(951) 736-7413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1255 Magnolia Ave Ste 105
Corona, CA 92879-5004

Mailing address

1255 Magnolia Ave Ste 105
Corona, CA 92879-5004
Phone (951) 736-7413

National Provider Directory

National Provider Directory

Locations

1255 Magnolia Ave
Ste 105
Corona, CA 92879
Phone (951) 736-7413

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1942020946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 MAGNOLIA AVE STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928795004",
            "telephone_number": "951-736-7413",
            "fax_number": "951-736-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 MAGNOLIA AVE STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928795004",
            "telephone_number": "951-736-7413",
            "fax_number": "951-736-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWENA V. LAYSON DMD, INC DBA GREAT SMILE DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "LAYSON",
        "authorized_official_first_name": "ROWENA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-736-7413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.