Grace Dominica Dy DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56567 Issued in CA

Legal business name

GRACE DOMINICA DY DDS INC

Practice address

2010 N Tustin St Ste a
Orange, CA 92865-3900

Phone

(714) 282-0430

NPI assigned

Jul 5, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Grace Dy

Title

Ceo

Phone

(714) 282-0430

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faranak Behi, D.D.S.

  • General Practice Dentistry
  • Orange, CA
  • NPI 1053337451
  NPD (past)
• Ashkan Tirgari, D.D.S.

  • Pediatric Dentistry
  • Agoura Hills, CA
  • NPI 1629260153

  General Practice

  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1114282142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N TUSTIN ST STE A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 N TUSTIN ST STE A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653900",
            "telephone_number": "714-282-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DOMINICA DY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "DY",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-282-0430",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Goya, MD
• Anusha Goyal
• Namita Goyal, M.D.
• Martin Roberto Goyenechea, MD
• Amanda Sue Grable, LMT
• Grace L Walker Physical Therapy a Professional Corporation
• Grace S Hwang MD Inc
• Grace Senior Solutions
• Graceful Living Adult Home Rcfe
• Gracious Care Homes Inc.

• General Practice Dentistry in Orange, CA
• Providers in Orange, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.