Active NPI
Lemos & Sandoval Dental Corporation
Doing business as New Horizon Dental
- Public Health Dentistry
- Bloomington, CA
National Provider Identifier
1962888446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 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
National Provider Directory
National Provider DirectoryNPI 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.