Mobile Dentistry of Ca Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

61024 Issued in CA

Legal business name

MOBILE DENTISTRY OF CA INC

Practice address

13522 Newport Ave
Suite 102
Tustin, CA 92780-3707

Phone

(949) 529-1095

Fax

(949) 417-0292

NPI assigned

Jul 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Vijay Jain, DMDNPI 1710218326

Title

Owner

Phone

(949) 529-1095

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vijay Jain, DMD

  • Dentist
  • Tustin, CA
  • NPI 1710218326
  NPD (past) Authorized official

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1174975882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRAGG",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13522 NEWPORT AVE",
            "address_2": "SUITE 102",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803707",
            "telephone_number": "949-529-1095",
            "fax_number": "949-417-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DENTISTRY OF CA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-529-1095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "61024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Mitchell, DDS
• Charon Stephaine Mitchell
• Cyndee Ayson Mitchell, M.D.
• Jessica Mitchell, M.A., LMFT
• Natasha Mitchell, OD
• Mobile Monitoring, Inc.
• Modification Network, Inc.
• Robert J Moeser, O.D.
• Erin Lynn Moffett, CPNP
• Mohammad Elbatta MD, Inc

• Customized Equipment (DME) in Tustin, CA
• Providers in Tustin, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.