Simona D. Kiss D.D.S. Professional Dental Corporation

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

46399 Issued in CA

Legal business name

SIMONA D. KISS D.D.S. PROFESSIONAL DENTAL CORPORATION

Practice address

18102 Irvine Blvd Ste 201
Tustin, CA 92780-3424

Phone

(714) 730-9656

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Simona Kiss

Title

Dentist, Director

Phone

(714) 730-9656

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1124423066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD STE 201",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD STE 201",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803424",
            "telephone_number": "714-730-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONA D. KISS D.D.S. PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "KISS",
        "authorized_official_first_name": "SIMONA",
        "authorized_official_title_or_position": "DENTIST, DIRECTOR",
        "authorized_official_telephone_number": "714-730-9656",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "46399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandi E Silva, DDS
• Todd J Silverberg, O.D.
• Sohail I. Simjee, DMD, INC.
• Kim Simmons, LMFT
• Michael Lee Simmons, LCSW, CDS
• Martha D. Simoneau, MFT
• Danielle Simons, DPT
• Simplycare Professional Nursing Corp
• Shawn Sinclair, LCSW
• Mark Singh

• Preferred Provider Organization in Tustin, CA
• Providers in Tustin, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.