Oak Valley Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54279 Issued in CA

Legal business name

OAK VALLEY FAMILY DENTAL

Practice address

1037 Beaumont Ave
Beaumont, CA 92223-1832

Phone

(951) 769-7797

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Lewis

Title

General Partner

Phone

(951) 769-7797

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.

• Rakiya Lynette Jones, D.D.S.

  • General Practice Dentistry
  • Beaumont, CA
  • NPI 1376769687
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992824270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 BEAUMONT AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 BEAUMONT AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231832",
            "telephone_number": "951-769-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK VALLEY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "951-769-7797",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Irene Njeri, REGISTERED NURSE
• Nomi Lee DDS Inc
• Nomi Lee DDS Inc
• Norman E. Carter DDS Ms Inc (C& G Orthodontics)
• Sarah Suellon Nunley, LMFT
• Michelle Isabel Ocegueda
• Seamus NMN Oconnor
• Christine Odhiambo, RN
• Terri Lynn Oliveira
• Stevie Kristine Olney, O.D.

• General Practice Dentistry in Beaumont, CA
• Providers in Beaumont, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.