Organization Active NPI

Lily Workman, DD, Inc

  • Dental Clinic/Center
  • Poway, CA
National Provider Identifier
1952786907
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
56786 Issued in CA
Legal business name
LILY WORKMAN, DD, INC
Practice address
12630 Monte Vista Rd Ste 108
Poway, CA 92064-2526
Phone
(858) 312-5242
NPI assigned
Jul 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Dr. Lily Ayn Workman, DDS, CAGS
Title
Orthodontist/Owner
Phone
(858) 312-5242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 56786 CA Primary

Addresses

Primary practice location

12630 Monte Vista Rd Ste 108
Poway, CA 92064-2526

Mailing address

12630 Monte Vista Rd Ste 108
Poway, CA 92064-2526
Phone (858) 312-5242

Other names 1

  • Workman Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

12630 Monte Vista Rd
Ste 108
Poway, CA 92064
Phone (858) 312-5242

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1952786907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD STE 108",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642526",
            "telephone_number": "858-312-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD STE 108",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642526",
            "telephone_number": "858-312-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY WORKMAN, DD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "AYN",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "858-312-5242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, CAGS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Workman Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.