Organization Active NPI

Guirguis Dental Corporation

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1104160928
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51071 Issued in CA
Legal business name
GUIRGUIS DENTAL CORPORATION
Practice address
801 N Tustin Ave Ste 502
Santa Ana, CA 92705-3609
Phone
(714) 505-1641
NPI assigned
Nov 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Heba Guirguis
Title
Dentist
Phone
(714) 505-1641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 51071 CA Primary

Addresses

Primary practice location

801 N Tustin Ave Ste 502
Santa Ana, CA 92705-3609

Mailing address

801 N Tustin Ave Ste 502
Santa Ana, CA 92705-3609
Phone (714) 505-1641

National Provider Directory

National Provider Directory

Locations

801 N Tustin Ave
Ste 502
Santa Ana, CA 92705
Phone (714) 505-1641

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1104160928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 502",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053609",
            "telephone_number": "714-505-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 502",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053609",
            "telephone_number": "714-505-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIRGUIS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "GUIRGUIS",
        "authorized_official_first_name": "HEBA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-505-1641"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "51071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.