Organization Active NPI

Dr Samuel Dental Corp

  • Dental Clinic/Center
  • Tustin, CA
National Provider Identifier
1164128237
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR SAMUEL DENTAL CORP
Practice address
13011 Newport Ave
Tustin, CA 92780-3524
Phone
(714) 699-6838
NPI assigned
Feb 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Akram Samuel, DDSNPI 1457422271
Title
Owner
Phone
(714) 699-6838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

13011 Newport Ave
Tustin, CA 92780-3524

Mailing address

13662 Estero Cir
Tustin, CA 92780-4556
Phone (714) 699-6838

Other names 1

  • Dr Samuel Dental Corp Doing business as

National Provider Directory

National Provider Directory

Locations

13011 Newport Ave
Tustin, CA 92780
Phone (714) 699-6838

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": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1164128237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13662 ESTERO CIR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804556",
            "telephone_number": "714-699-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803524",
            "telephone_number": "714-699-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SAMUEL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "AKRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-699-6838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Samuel Dental Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 1, 2023; 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.