Irvine Spectrum Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

33186 Issued in CA

Legal business name

IRVINE SPECTRUM DENTAL

Practice address

9070 Irvine Center Dr Ste 130
Irvine, CA 92618-4690

Phone

(949) 387-6418

Fax

(949) 387-6419

NPI assigned

Sep 19, 2017

Organization subpart

No

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

Authorized official

Name

Charlene TongNPI 1689192072

Title

Dentist

Phone

(949) 387-6418

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Charlene Tong, DDS

  • General Practice Dentistry
  • Foothill Ranch, CA
  • NPI 1689192072
  NPD (past) Authorized official

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124547310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 IRVINE CENTER DR STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184690",
            "telephone_number": "949-387-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 IRVINE CENTER DR STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184690",
            "telephone_number": "949-387-6418",
            "fax_number": "949-387-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE SPECTRUM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-387-6418"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "33186",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "45069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irvine Physical Medicine & Rehab
• Irvine Physical Medicine & Rehabilitation a Medical Corporation
• Irvine Professional Medical Group, Inc
• Irvine Rehabilitation Hospital LLC
• Irvine Specialty Care Surgery Center
• Irvine Surgical Center II LLC
• Irvine Surgical Center LLC
• Irvine Surgical Medical Group Corp
• Irvine Surgical Partners LLC
• Irvine Therapy Services, Inc.

• Dental Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.