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
Last updated
Nov 21, 2016By the provider in NPPES
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, MDNPI 1356423271
Title
President
Phone
(949) 697-8897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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 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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": [],
    "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.