Active NPI
Patricia Degraw-Schwartz, DDS,Inc
- General Practice Dentistry
- Orange, CA
National Provider Identifier
1982813069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42415
- Legal business name
- PATRICIA DEGRAW-SCHWARTZ, DDS,INC
- Practice address
- 1122 E Lincoln Ave
Suite 104
Orange, CA 92865-1907 - Phone
- (714) 282-2490
- Fax
- (714) 282-2494
- NPI assigned
- May 22, 2007
- 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. Patricia Cecile Degraw-Schwartz, D.D.S.
- Title
- Owner
- Phone
- (714) 282-2490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42415 | CA | Primary |
Addresses
Primary practice location
1122 E Lincoln Ave
Suite 104
Orange, CA 92865-1907
Mailing address
1122 E Lincoln Ave
Suite 104
Orange, CA 92865-1907
Phone (714) 282-2490
Other names 1
- The Tooth Spa
National Provider Directory
National Provider DirectoryLocations
1122 E Lincoln Ave
Ste 104
Orange, CA 92865
Phone (714) 282-2490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Redlands, CA
- NPI 1114747318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370390400000",
"number": "1982813069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 E LINCOLN AVE",
"address_2": "SUITE 104",
"city": "ORANGE",
"state": "CA",
"postal_code": "928651907",
"telephone_number": "714-282-2490",
"fax_number": "714-282-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 E LINCOLN AVE",
"address_2": "SUITE 104",
"city": "ORANGE",
"state": "CA",
"postal_code": "928651907",
"telephone_number": "714-282-2490",
"fax_number": "714-282-2494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA DEGRAW-SCHWARTZ, DDS,INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2013-06-05",
"status": "A",
"authorized_official_last_name": "DEGRAW-SCHWARTZ",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "CECILE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-282-2490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "42415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Tooth Spa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.