Organization Active NPI

Arrowhead Village Dental Group

Doing business as Arrowhead Village Dental

  • Dental Clinic/Center
  • Lake Arrowhead, CA
National Provider Identifier
1962972158
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ARROWHEAD VILLAGE DENTAL GROUP
Doing business as
Arrowhead Village Dental
Practice address
28200 Highway 189 # 0250
Lake Arrowhead, CA 92352-9700
Phone
(909) 337-4222
NPI assigned
Nov 29, 2018
Last updated
Nov 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Dr. Ash Moses Dason, DDS
Title
Owner
Phone
(909) 904-3956

Specialties & licenses 1

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

Addresses

Primary practice location

28200 Highway 189 # 0250
Lake Arrowhead, CA 92352-9700

Mailing address

PO Box 241
Lake Arrowhead, CA 92352-0241
Phone (909) 904-3956

Other practice location 1

28200 Highway 189 # 0250
Lake Arrowhead, CA 92352-9700
Phone (909) 337-4222

Other names 1

  • Arrowhead Village 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": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1962972158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923520241",
            "telephone_number": "909-904-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28200 HIGHWAY 189 # 0250",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923529700",
            "telephone_number": "909-337-4222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28200 Highway 189 # 0250",
            "address_purpose": "LOCATION",
            "city": "Lake Arrowhead",
            "state": "CA",
            "postal_code": "923529700",
            "country_code": "US",
            "telephone_number": "909-337-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARROWHEAD VILLAGE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "DASON",
        "authorized_official_first_name": "ASH",
        "authorized_official_middle_name": "MOSES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-904-3956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arrowhead Village Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Arrowhead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.