1013358407 NPI number — SHELBY P. LAPIAD, DDS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013358407 NPI number — SHELBY P. LAPIAD, DDS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHELBY P. LAPIAD, DDS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013358407
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/16/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2861 N VENTURA RD
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
OXNARD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93036-2213
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-604-5110
Provider Business Mailing Address Fax Number:
805-981-8162

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
738 OLIVIA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OXNARD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93030-7695
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-760-2554
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/12/2013

Additional Information

Authorized Official

Authorized Official Last Name:
LAPIAD
Authorized Official First Name:
SHELBY
Authorized Official Middle Name:
PADUA
Authorized Official Title or Position:
DENTIST
Authorized Official Telephone Number:
805-604-5110

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  58456 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com