Organization Active NPI

Jeffrey M. Dembner, MD, Inc.

  • Neurological Surgery Physician
  • Orange, CA
National Provider Identifier
1003005117
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A74580 Issued in CA
Legal business name
JEFFREY M. DEMBNER, MD, INC.
Practice address
2617 E Chapman Ave
Suite 201
Orange, CA 92869-3226
Phone
(714) 639-3780
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Dr. Jeffrey Marc Dembner, MD
Title
President
Phone
(949) 697-8897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X A74580 CA Primary

Addresses

Primary practice location

2617 E Chapman Ave
Suite 201
Orange, CA 92869-3226

Mailing address

PO Box 906
Corona del Mar, CA 92625-5906

Other identifiers 1

IdentifierTypeStateIssuer
W16861OtherCAMEDICARE PTAN

Other names 1

  • Newport Neurosurgery, Inc. Other name

National Provider Directory

National Provider Directory

Locations

1860 Pennsylvania Ave
#32
Fairfield, CA 94533
Phone (707) 646-4370

280 Newport Center Dr
Ste 145
Newport Beach, CA 92660
Phone (949) 706-7152

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1003005117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 906",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926255906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 E CHAPMAN AVE",
            "address_2": "SUITE 201",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693226",
            "telephone_number": "714-639-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M. DEMBNER, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "DEMBNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-697-8897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A74580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W16861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Neurosurgery, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 21, 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.