NPIMap

Organization Active NPI

Jose Eduardo Lara DDS Inc

Doing business as Atwood Family Dentistry

  • General Practice Dentistry
  • Placentia, CA
National Provider Identifier
1952461725
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44205 Issued in CA
Legal business name
JOSE EDUARDO LARA DDS INC
Doing business as
Atwood Family Dentistry
Practice address
1651 E Orangethorpe Ave
Placentia, CA 92870-6629
Phone
(714) 993-2768
Fax
(714) 993-2775
NPI assigned
Dec 11, 2006
Last updated
Jun 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Dr. Jose Eduardo Lara, DDSNPI 1669564563
Title
President
Phone
(714) 993-2768

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44205 CA Primary

Addresses

Primary practice location

1651 E Orangethorpe Ave
Placentia, CA 92870-6629

Mailing address

1651 E Orangethorpe Ave
Placentia, CA 92870-6629
Phone (714) 993-2768

Other names 1

  • ATWOOD FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

1651 E Orangethorpe Ave
Placentia, CA 92870
Phone (714) 993-2768

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1952461725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E ORANGETHORPE AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706629",
            "telephone_number": "714-993-2768",
            "fax_number": "714-993-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E ORANGETHORPE AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706629",
            "telephone_number": "714-993-2768",
            "fax_number": "714-993-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE EDUARDO LARA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-993-2768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATWOOD FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.