NPIMap

Organization Active NPI

Archung & Lagatta DDS, Inc

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1184094310
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47227 Issued in CA
Legal business name
ARCHUNG & LAGATTA DDS, INC
Practice address
10500 Magnolia Ave
Ste A1
Anaheim, CA 92804-5817
Phone
(714) 343-6114
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Dr. Brian William ArchungNPI 1134260888
Title
Treasurer
Phone
(714) 343-6114

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 47227 CA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 49919 CA

Addresses

Primary practice location

10500 Magnolia Ave
Ste A1
Anaheim, CA 92804-5817

Mailing address

2493 N Highwood Rd
Orange, CA 92867-6479
Phone (714) 343-6114

National Provider Directory

National Provider Directory
Tax ID family
Archung Lagatta DDS Inc2 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.

Locations

10500 Magnolia Ave
Ste A1
Anaheim, CA 92804
Phone (714) 343-6114

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": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1184094310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2493 N HIGHWOOD RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928676479",
            "telephone_number": "714-343-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 MAGNOLIA AVE",
            "address_2": "STE A1",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045817",
            "telephone_number": "714-343-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHUNG & LAGATTA DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "ARCHUNG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "714-343-6114",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47227",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.