Organization Active NPI

Travis Kinser DDS MSD Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Laguna Niguel, CA
National Provider Identifier
1104699487
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
TRAVIS KINSER DDS MSD INC
Practice address
30131 Town Center Dr Ste 196
Laguna Niguel, CA 92677-2040
Phone
(949) 363-3350
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Travis Kinser, DDS, MSDNPI 1851926596
Title
Owner Doctor
Phone
(949) 363-3350

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

30131 Town Center Dr Ste 196
Laguna Niguel, CA 92677-2040

Mailing address

30131 Town Center Dr Ste 196
Laguna Niguel, CA 92677-2040
Phone (949) 363-3350

Other practice location 1

620 Glenneyre St
Laguna Beach, CA 92651-2420
Phone (949) 363-3350

Other identifiers 1

IdentifierTypeStateIssuer
1851926596MedicaidCA

Other names 1

  • Kinser Orthodontics Other name

National Provider Directory

National Provider Directory

Locations

620 Glenneyre St
Laguna Beach, CA 92651
Phone (949) 363-3350

30131 Town Center Dr
Ste 196
Laguna Niguel, CA 92677
Phone (949) 363-3350

Practitioners & affiliated clinicians

Practitioners 2

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": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1104699487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 196",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772040",
            "telephone_number": "949-363-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 196",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772040",
            "telephone_number": "949-363-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Glenneyre St",
            "address_purpose": "LOCATION",
            "city": "Laguna Beach",
            "state": "CA",
            "postal_code": "926512420",
            "country_code": "US",
            "telephone_number": "949-363-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRAVIS KINSER DDS MSD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "KINSER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "949-363-3350",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851926596",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinser Orthodontics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kinser Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 7, 2023; 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.