NPIMap

Organization Active NPI

Archana Pimple, DDS, Inc.

  • Dentist
  • Tustin, CA
National Provider Identifier
1093051591
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56577 Issued in CA
Legal business name
ARCHANA PIMPLE, DDS, INC.
Practice address
14591 Newport Ave Ste 104
Tustin, CA 92780-6026
Phone
(714) 832-8420
NPI assigned
Jan 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Dr. Archana Sanjiv Pimple, DDSNPI 1154568111
Title
President
Phone
(714) 396-3716

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 56577 CA Primary

Addresses

Primary practice location

14591 Newport Ave Ste 104
Tustin, CA 92780-6026

Mailing address

14591 Newport Ave Ste 104
Tustin, CA 92780-6026
Phone (714) 832-8420

National Provider Directory

National Provider Directory

Locations

14591 Newport Ave
Ste 104
Tustin, CA 92780
Phone (714) 832-8420

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": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1093051591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14591 NEWPORT AVE STE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806026",
            "telephone_number": "714-832-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14591 NEWPORT AVE STE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806026",
            "telephone_number": "714-832-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHANA PIMPLE, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "PIMPLE",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_middle_name": "SANJIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-396-3716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56577",
            "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 Jan 15, 2013; 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.