Organization Active NPI

Magic Fox Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Huntington Beach, CA
National Provider Identifier
1053064691
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MAGIC FOX ORTHODONTICS
Practice address
17041 Beach Blvd Ste 101
Huntington Beach, CA 92647-6097
Phone
(714) 594-5777
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Dr. Melissa Marie Ven Dange, DMDNPI 1902327448
Title
Owner
Phone
(714) 206-1599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

17041 Beach Blvd Ste 101
Huntington Beach, CA 92647-6097

Mailing address

17041 Beach Blvd Ste 101
Huntington Beach, CA 92647-6097
Phone (714) 594-5777

National Provider Directory

National Provider Directory

Locations

17041 Beach Blvd
Ste 101
Huntington Beach, CA 92647
Phone (714) 594-5777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1053064691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17041 BEACH BLVD STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476097",
            "telephone_number": "714-594-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17041 BEACH BLVD STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476097",
            "telephone_number": "714-594-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC FOX ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "VEN DANGE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-206-1599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 27, 2025; 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.