Organization Active NPI

Homecare Dentists

  • General Practice Dentistry
  • San Juan Capistrano, CA
National Provider Identifier
1124251996
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HOMECARE DENTISTS
Practice address
27126 Paseo Espada Ste 705
San Juan Capistrano, CA 92675-2721
Phone
(949) 429-7100
Fax
(949) 429-7101
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Kevin Warthan, DDS
Title
Dentist
Phone
(949) 429-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

27126 Paseo Espada Ste 705
San Juan Capistrano, CA 92675-2721

Mailing address

27126 Paseo Espada Ste 705
San Juan Capistrano, CA 92675-2721
Phone (949) 429-7100

National Provider Directory

National Provider Directory

Locations

27126 Paseo Espada
Ste 705
San Juan Capistrano, CA 92675
Phone (949) 429-7100

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1124251996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27126 PASEO ESPADA STE 705",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752721",
            "telephone_number": "949-429-7100",
            "fax_number": "949-429-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27126 PASEO ESPADA STE 705",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752721",
            "telephone_number": "949-429-7100",
            "fax_number": "949-429-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE DENTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "WARTHAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-429-7100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.