Organization Active NPI

Irvine Dentistry

  • Endodontics
  • Irvine, CA
National Provider Identifier
1144728684
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
IRVINE DENTISTRY
Practice address
5394 Walnut Ave Ste E
Irvine, CA 92604-2544
Phone
(949) 552-1757
Fax
(949) 552-5821
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Phuong Dao
Title
Office Manager
Phone
(949) 552-1757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

5394 Walnut Ave Ste E
Irvine, CA 92604-2544

Mailing address

5394 Walnut Ave Ste E
Irvine, CA 92604-2544
Phone (949) 552-1757

National Provider Directory

National Provider Directory

Locations

5394 Walnut Ave
Ste E
Irvine, CA 92604
Phone (949) 552-1757

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1144728684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5394 WALNUT AVE STE E",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042544",
            "telephone_number": "949-552-1757",
            "fax_number": "949-552-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5394 WALNUT AVE STE E",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042544",
            "telephone_number": "949-552-1757",
            "fax_number": "949-552-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "DAO",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-552-1757"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.