Individual provider Active NPI

Lauren Estes, DDS

  • Dentist
  • Redondo Beach, CA
National Provider Identifier
1972321636
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110398 Issued in CA
Practice address
1815 Via El Prado Ste 200
Redondo Beach, CA 90277-5725
Phone
(310) 316-4477
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 110398 CA Primary

Addresses

Primary practice location

1815 Via El Prado Ste 200
Redondo Beach, CA 90277-5725

Mailing address

319 Sierra St Apt 1
El Segundo, CA 90245-5407
Phone (865) 223-2523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fulbright and Faist Dental Partnership Dentist CurrentSince Oct 6, 2024 Accepting new patients
Michael T. Fulbright DDS a Professional Corporation Dentist PastSince Oct 6, 2024 Accepting new patients

Locations

1815 Via El Prado
Ste 200
Redondo Beach, CA 90277
Phone (310) 316-4477

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1972321636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SIERRA ST APT 1",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455407",
            "telephone_number": "865-223-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 VIA EL PRADO STE 200",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775725",
            "telephone_number": "310-316-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTES",
        "first_name": "LAUREN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.