Bernardita N Lizan DMD,Inc

Primary specialty

DentistTaxonomy code 122300000X

License

37131 Issued in CA

Legal business name

BERNARDITA N LIZAN DMD,INC

Practice address

550 E 8TH St Ste 12
National City, CA 91950-2355

Phone

(619) 477-7570

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Bernardita N Lizan, DMDNPI 1750448361

Title

President

Phone

(619) 477-7570

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernardita Nazaire Lizan, DMD

  • Dentist
  • National City, CA
  • NPI 1750448361
  NPD (past) Authorized official

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1972961118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 8TH ST STE 12",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502355",
            "telephone_number": "619-477-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E 8TH ST STE 12",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502355",
            "telephone_number": "619-477-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARDITA N LIZAN DMD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "LIZAN",
        "authorized_official_first_name": "BERNARDITA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-477-7570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in National City, CA
• Providers in National City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.