NPIMap

Organization Active NPI

Luis Moran DDS a Dental Corporation

  • General Practice Dentistry
  • Buena Park, CA
National Provider Identifier
1174835888
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45150 Issued in CA
Legal business name
LUIS MORAN DDS A DENTAL CORPORATION
Practice address
8682 Beach Blvd
Suite #102
Buena Park, CA 90620-4808
Phone
(714) 484-9050
Fax
(714) 484-9060
NPI assigned
Jul 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Authorized official

Name
Dr. Luis Moran, DDS
Title
President
Phone
(714) 484-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 45150 CA Primary

Addresses

Primary practice location

8682 Beach Blvd
Suite #102
Buena Park, CA 90620-4808

Mailing address

8682 Beach Blvd
Suite #102
Buena Park, CA 90620-4808
Phone (714) 484-9050

National Provider Directory

National Provider Directory

Locations

8682 Beach Blvd
Ste 102
Buena Park, CA 90620
Phone (714) 484-9050

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": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1174835888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8682 BEACH BLVD",
            "address_2": "SUITE #102",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204808",
            "telephone_number": "714-484-9050",
            "fax_number": "714-484-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8682 BEACH BLVD",
            "address_2": "SUITE #102",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204808",
            "telephone_number": "714-484-9050",
            "fax_number": "714-484-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS MORAN DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-484-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.