Organization Active NPI

Dr. Waked Dental Corporation Inc

  • General Practice Dentistry
  • Orcutt, CA
National Provider Identifier
1154273654
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR. WAKED DENTAL CORPORATION INC
Practice address
1108 E Clark Ave Ste 160
Orcutt, CA 93455-5189
Phone
(805) 937-2059
NPI assigned
Feb 10, 2026
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Christy Dupin
Title
Manager of Credentialing
Phone
(480) 674-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1108 E Clark Ave Ste 160
Orcutt, CA 93455-5189

Mailing address

1108 E Clark Ave Ste 160
Orcutt, CA 93455-5189
Phone (805) 937-2059

National Provider Directory

National Provider Directory

Locations

1108 E Clark Ave
Ste 160
Santa Maria, CA 93455
Phone (805) 937-2059

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1154273654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 E CLARK AVE STE 160",
            "city": "ORCUTT",
            "state": "CA",
            "postal_code": "934555189",
            "telephone_number": "805-937-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 E CLARK AVE STE 160",
            "city": "ORCUTT",
            "state": "CA",
            "postal_code": "934555189",
            "telephone_number": "805-937-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WAKED DENTAL CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "DUPIN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MANAGER OF CREDENTIALING",
        "authorized_official_telephone_number": "480-674-4151"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orcutt, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.