Organization Active NPI

Taba Apostu & Apostu Professional Dental Corp

  • Dentist
  • Lake Elsinore, CA
National Provider Identifier
1063632123
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TABA APOSTU & APOSTU PROFESSIONAL DENTAL CORP
Practice address
361 Railroad Canyon Rd
#A
Lake Elsinore, CA 92532
Phone
(951) 471-1400
Fax
(951) 471-1403
NPI assigned
Apr 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Mr. Dorin Apostu, DDS
Title
Vice President
Phone
(751) 471-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

361 Railroad Canyon Rd
#A
Lake Elsinore, CA 92532

Mailing address

361 Railroad Canyon Rd
#A
Lake Elsinore, CA 92532
Phone (951) 471-1400

Other identifiers 1

IdentifierTypeStateIssuer
G9148101MedicaidCA

Other names 1

  • Tuscang Dental Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1063632123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 RAILROAD CANYON RD",
            "address_2": "#A",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92532",
            "telephone_number": "951-471-1400",
            "fax_number": "951-471-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 RAILROAD CANYON RD",
            "address_2": "#A",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92532",
            "telephone_number": "951-471-1400",
            "fax_number": "951-471-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABA APOSTU & APOSTU PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "APOSTU",
        "authorized_official_first_name": "DORIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "751-471-1400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9148101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuscang Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.