Ladera Ranch Modern Dentistry, Prof. Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LADERA RANCH MODERN DENTISTRY, PROF. CORP

Doing business as

Ladera Ranch Modern Dentistry

Practice address

27702 Crown Valley Pkwy Ste A4
Ladera Ranch, CA 92694-0609

Phone

(949) 354-5268

Fax

(949) 347-5883

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deepika Dhama, DDS

Title

Owner

Phone

(949) 354-5268

Specialties & licenses 1

Addresses

Other names 1

• Ladera Ranch Modern Dentistry Doing business as

Locations

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1114821014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27702 CROWN VALLEY PKWY STE A4",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940609",
            "telephone_number": "949-354-5268",
            "fax_number": "949-347-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADERA RANCH MODERN DENTISTRY, PROF. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "DHAMA",
        "authorized_official_first_name": "DEEPIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-354-5268",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ladera Ranch Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Ladera Ranch, CA
• Providers in Ladera Ranch, 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 Oct 5, 2026; 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.