Organization Active NPI

Lemos & Sandoval Dental Corporation

Doing business as New Horizon Dental

  • Public Health Dentistry
  • Bloomington, CA
National Provider Identifier
1962888446
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
LEMOS & SANDOVAL DENTAL CORPORATION
Doing business as
New Horizon Dental
Practice address
18790 Valley Blvd
Suite D
Bloomington, CA 92316-2241
Phone
(909) 873-5093
NPI assigned
Aug 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Dr. Luis Fernando Lemos, D.D.S
Title
General Dentist / C.E.O.
Phone
(909) 435-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

18790 Valley Blvd
Suite D
Bloomington, CA 92316-2241

Mailing address

18790 Valley Blvd
Suite D
Bloomington, CA 92316-2241
Phone (909) 873-5093

Other names 1

  • New Horizon Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1962888446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18790 VALLEY BLVD",
            "address_2": "SUITE D",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923162241",
            "telephone_number": "909-873-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18790 VALLEY BLVD",
            "address_2": "SUITE D",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923162241",
            "telephone_number": "909-873-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMOS & SANDOVAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "LEMOS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "GENERAL DENTIST / C.E.O.",
        "authorized_official_telephone_number": "909-435-9616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.