Organization Active NPI

Daniel Jaffe, D.D.S., Inc.

  • General Practice Dentistry
  • Huntington Beach, CA
National Provider Identifier
1033319330
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39015 Issued in CA
Legal business name
DANIEL JAFFE, D.D.S., INC.
Practice address
305 Orange Ave Ste C
Huntington Beach, CA 92648-8128
Phone
(714) 374-1833
Fax
(714) 374-0492
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Carlos Daniel Jaffe, D.D.S.
Title
Dentist/Owner
Phone
(714) 374-1833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39015 CA Primary

Addresses

Primary practice location

305 Orange Ave Ste C
Huntington Beach, CA 92648-8128

Mailing address

305 Orange Ave Ste C
Huntington Beach, CA 92648-8128
Phone (714) 374-1833

Other identifiers 1

IdentifierTypeStateIssuer
B3901501OtherCAMEDI-CAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

305 Orange Ave
Ste C
Huntington Beach, CA 92648
Phone (714) 374-1833

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1033319330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ORANGE AVE STE C",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926488128",
            "telephone_number": "714-374-1833",
            "fax_number": "714-374-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ORANGE AVE STE C",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926488128",
            "telephone_number": "714-374-1833",
            "fax_number": "714-374-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL JAFFE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "714-374-1833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "B3901501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.