Individual provider Active NPI

Basile Muntean, D.D.S.

  • Dentist
  • Orange, CA
National Provider Identifier
1114017886
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45152 Issued in CA
Practice address
1122 E Lincoln Ave
Suite 114
Orange, CA 92865-1907
Phone
(714) 637-5222
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45152 CA Primary

Addresses

Primary practice location

1122 E Lincoln Ave
Suite 114
Orange, CA 92865-1907

Mailing address

1122 E Lincoln Ave
Suite 114
Orange, CA 92865-1907
Phone (714) 637-5222

Other identifiers 1

IdentifierTypeStateIssuer
G91786-01MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150610000599 CA Order and Referring Only - Other (Non-Physician) 6608197025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45152CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Basile Muntean D.D.S., Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114017886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE",
            "address_2": "SUITE 114",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651907",
            "telephone_number": "714-637-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE",
            "address_2": "SUITE 114",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651907",
            "telephone_number": "714-637-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTEAN",
        "first_name": "BASILE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G91786-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.