Organization Active NPI

Sergio R. Aguilar, DDS, Inc.

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1023485745
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36881 Issued in CA
Legal business name
SERGIO R. AGUILAR, DDS, INC.
Practice address
520 N Main St Ste 120
Santa Ana, CA 92701-4623
Phone
(714) 835-4057
Fax
(714) 835-4058
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Authorized official

Name
Sergio Ricardo Aguilar
Title
Dentist
Phone
(714) 835-4057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 36881 CA Primary

Addresses

Primary practice location

520 N Main St Ste 120
Santa Ana, CA 92701-4623

Mailing address

520 N Main St Ste 120
Santa Ana, CA 92701-4623
Phone (714) 835-4057

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1023485745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MAIN ST STE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014623",
            "telephone_number": "714-835-4057",
            "fax_number": "714-835-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MAIN ST STE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014623",
            "telephone_number": "714-835-4057",
            "fax_number": "714-835-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO R. AGUILAR, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-835-4057"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.