Active NPI
Kanthi J Appannagari Professional Dental Corporation
- Oral and Maxillofacial Surgery (Dentist)
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- KANTHI J APPANNAGARI PROFESSIONAL DENTAL CORPORATION
- Practice address
- 17400 Irvine Blvd Ste E
Tustin, CA 92780-3030 - Phone
- (714) 371-0776
- Fax
- (714) 371-0179
- NPI assigned
- Sep 25, 2018
- Last updated
- Feb 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kanthi J Appannagari, DDS
- Title
- Owner
- Phone
- (714) 371-0776
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NU | Primary |
Addresses
Primary practice location
17400 Irvine Blvd Ste E
Tustin, CA 92780-3030
Mailing address
17400 Irvine Blvd Ste E
Tustin, CA 92780-3030
Phone (714) 371-0776
National Provider Directory
National Provider DirectoryLocations
17400 Irvine Blvd
Ste E
Tustin, CA 92780
Phone (714) 371-0776
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.
-
- General Practice Dentistry
- Tustin, CA
- NPI 1881775385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645488000000",
"number": "1073098158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17400 IRVINE BLVD STE E",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803030",
"telephone_number": "714-371-0776",
"fax_number": "714-371-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17400 IRVINE BLVD STE E",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803030",
"telephone_number": "714-371-0776",
"fax_number": "714-371-0179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANTHI J APPANNAGARI PROFESSIONAL DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-25",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A",
"authorized_official_last_name": "APPANNAGARI",
"authorized_official_first_name": "KANTHI",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-371-0776",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.