Active NPI
Travis Kinser DDS MSD Inc
- Orthodontics and Dentofacial Orthopedics Dentistry
- Laguna Niguel, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Travis Kinser, DDS, MSD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851926596 | Medicaid | CA |
Other names 1
- Kinser Orthodontics
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Laguna Niguel, CA
- NPI 1851926596
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Laguna Niguel, CA
- NPI 1487831871
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.