MK SG Dental Corp

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

MK SG DENTAL CORP

Doing business as

Orange County Dental Specialist

Practice address

15825 Laguna Canyon Rd
206
Irvine, CA 92618-2125

Phone

(949) 789-8989

Fax

(949) 453-0970

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Sam Gilani, DMD

Title

Co-Owner

Phone

(949) 789-8989

Specialties & licenses 6

Addresses

Other names 1

• Orange County Dental Specialist Doing business as

Locations

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1164698379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18525 LAGUNA CANYON ROAD #206",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-789-8989",
            "fax_number": "949-453-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 LAGUNA CANYON RD",
            "address_2": "206",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182125",
            "telephone_number": "949-789-8989",
            "fax_number": "949-453-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK SG DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "GILANI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "949-789-8989",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange County Dental Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yuki J. Mitsuhashi-Acs, PSYD
• Takako Mitsuhashi, M.D.,PH.D.
• Dennis Yeichi Miyadi, OTR
• Pamela Ann Mizell, CNM
• Ray Mizutari, BS
• MKP Internal Medicine (Monique K Phan)
• MLJ Foundation
• Kauani K Moa I
• Afshan Mobin
• Modern Integrative Nutrition PC

• Prosthodontics in Irvine, CA
• Providers in Irvine, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.