NPIMap

Organization Active NPI

Michael Ayzin DDS Dental Corp

  • Dentist
  • Costa Mesa, CA
National Provider Identifier
1003298894
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MICHAEL AYZIN DDS DENTAL CORP
Practice address
1202 Bristol St Ste 120
Costa Mesa, CA 92626-8606
Phone
(714) 540-5511
Fax
(714) 540-1733
NPI assigned
Jun 29, 2015
Last updated
Nov 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Michael AyzinNPI 1750308292
Title
Owner
Phone
(714) 540-5511

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

1202 Bristol St Ste 120
Costa Mesa, CA 92626-8606

Mailing address

1202 Bristol St Ste 120
Costa Mesa, CA 92626-8606
Phone (714) 540-5511

National Provider Directory

National Provider Directory

Locations

1202 Bristol St
Ste 120
Costa Mesa, CA 92626
Phone (714) 540-5511

Practitioners & affiliated clinicians

Practitioners 2

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": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1003298894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 BRISTOL ST STE 120",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268606",
            "telephone_number": "714-540-5511",
            "fax_number": "714-540-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 BRISTOL ST STE 120",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268606",
            "telephone_number": "714-540-5511",
            "fax_number": "714-540-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL AYZIN DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "AYZIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-540-5511"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.