Organization Active NPI

Glenn P. Frial, DDS, Ms, a Professional Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Laguna Niguel, CA
National Provider Identifier
1093800039
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
41012 Issued in CA
Legal business name
GLENN P. FRIAL, DDS, MS, A PROFESSIONAL CORPORATION
Practice address
28202 Cabot Rd
Suite 250
Laguna Niguel, CA 92677-1250
Phone
(949) 276-2105
Fax
(949) 276-2109
NPI assigned
Oct 4, 2006
Last updated
Feb 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Dr. Glenn P. Frial, D.D.S., M.S.NPI 1285729293
Title
President/Orthodontist
Phone
(949) 276-2105

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 Dentistry 1223X0400X 41012 CA Primary

Addresses

Primary practice location

28202 Cabot Rd
Suite 250
Laguna Niguel, CA 92677-1250

Mailing address

28202 Cabot Rd
Suite 250
Laguna Niguel, CA 92677-1250

National Provider Directory

National Provider Directory

Locations

28202 Cabot Rd
Ste 250
Laguna Niguel, CA 92677
Phone (949) 276-2105

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1093800039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28202 CABOT RD",
            "address_2": "SUITE 250",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28202 CABOT RD",
            "address_2": "SUITE 250",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771250",
            "telephone_number": "949-276-2105",
            "fax_number": "949-276-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN P. FRIAL, DDS, MS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "FRIAL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT/ORTHODONTIST",
        "authorized_official_telephone_number": "949-276-2105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "41012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.