Individual provider Active NPI

Naz Haque, DDS

  • Dentist
  • Tustin, CA
National Provider Identifier
1083632376
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45110 Issued in CA
Practice address
2925 El Camino Real
Tustin, CA 92782-8909
Phone
(714) 505-0123
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45110 CA Primary
General Practice Dentistry 1223G0001X 45110 CA

Addresses

Primary practice location

2925 El Camino Real
Tustin, CA 92782-8909

Mailing address

2925 El Camino Real
Tustin, CA 92782-8909
Phone (714) 505-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45110CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Haque Dental Corporation Dentist Current Accepting new patients
Haque Dental Corporation Current Accepting new patients
Trucheck Health Current Accepting new patients

Locations

2925 El Camino Real
Tustin, CA 92782
Phone (714) 251-4022

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1083632376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 EL CAMINO REAL",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828909",
            "telephone_number": "714-505-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 EL CAMINO REAL",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828909",
            "telephone_number": "714-505-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "NAZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45110",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45110",
            "primary": false
        }
    ],
    "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 Dec 22, 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.