Individual provider Active NPI

Archana Sanjiv Pimple, D.D.S.

  • General Practice Dentistry
  • Tustin, CA
National Provider Identifier
1154568111
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56577 Issued in CA
Practice address
14591 Newport Ave Ste 104
Tustin, CA 92780-6026
Phone
(714) 832-8420
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56577 CA Primary

Addresses

Primary practice location

14591 Newport Ave Ste 104
Tustin, CA 92780-6026

Mailing address

14591 Newport Ave Ste 104
Tustin, CA 92780-6026
Phone (714) 832-8420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
56577CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Archana Pimple, DDS, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1154568111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14591 NEWPORT AVE STE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806026",
            "telephone_number": "714-832-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14591 NEWPORT AVE STE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806026",
            "telephone_number": "714-832-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMPLE",
        "first_name": "ARCHANA",
        "middle_name": "SANJIV",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.