NPIMap

Organization Active NPI

Nuvo Dental of Irvine

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1164806071
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29971 Issued in CA
Legal business name
NUVO DENTAL OF IRVINE
Practice address
22 Odyssey Ste 265
Irvine, CA 92618-7701
Phone
(949) 529-7227
NPI assigned
Jul 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Malek Mansour, DDS
Title
Owner
Phone
(949) 529-7227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 29971 CA Primary

Addresses

Primary practice location

22 Odyssey Ste 265
Irvine, CA 92618-7701

Mailing address

22 Odyssey Ste 265
Irvine, CA 92618-7701

National Provider Directory

National Provider Directory
Tax ID family
Nuvo Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1164806071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 265",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 265",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187701",
            "telephone_number": "949-529-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVO DENTAL OF IRVINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "MALEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-529-7227",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29971",
            "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 Jul 10, 2015; 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.