NPIMap

Organization Active NPI

Ericson Community Care Dental Clinic Lompoc Inc

  • Dental Clinic/Center
  • Lompoc, CA
National Provider Identifier
1972001196
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ERICSON COMMUNITY CARE DENTAL CLINIC LOMPOC INC
Practice address
1201 E Ocean Ave Ste G
Lompoc, CA 93436-7083
Phone
(805) 735-2702
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Sten Ericson, DDS
Title
Ownder
Phone
(805) 708-7866

Specialties & licenses 1

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

Addresses

Primary practice location

1201 E Ocean Ave Ste G
Lompoc, CA 93436-7083

Mailing address

1201 E Ocean Ave Ste G
Lompoc, CA 93436-7083
Phone (805) 735-2702

Other names 1

  • Community Care Dental Group Lompoc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Care Dental Group Lompoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1972001196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E OCEAN AVE STE G",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367083",
            "telephone_number": "805-735-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E OCEAN AVE STE G",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367083",
            "telephone_number": "805-735-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICSON COMMUNITY CARE DENTAL CLINIC LOMPOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "ERICSON",
        "authorized_official_first_name": "STEN",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "805-708-7866",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Dental Group Lompoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lompoc, CA

Sources for this page

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