MD Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MD DENTAL CORP

Doing business as

Crown Valley Dental

Practice address

27882 Forbes Rd Ste 204
Laguna Niguel, CA 92677-1267

Phone

(949) 249-2995

NPI assigned

Aug 15, 2023

Organization subpart

No

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

Authorized official

Name

Michael DiepNPI 1952490104

Title

President

Phone

(714) 335-0514

Specialties & licenses 1

Addresses

Other names 1

• Crown Valley Dental Doing business as

Locations

Practitioners 1

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

• Michael Diep, DDS

  • General Practice Dentistry
  • Walnut, CA
  • NPI 1952490104
  NPD Authorized official

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1194508184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27882 FORBES RD STE 204",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771267",
            "telephone_number": "949-249-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27882 FORBES RD STE 204",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771267",
            "telephone_number": "949-249-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "DIEP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-335-0514"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lothar McMillian, M.D.
• Mari Lyn McNamee, PHD
• Margaret Gunther McNelly, MFT
• Donita McNiel
• Suzanne K McWayne, LCSW
• MD Medical Diagnostics, a Medical Corporation
• John P Meehan III, M.D.
• Yasna Mehrabani, PA-C
• Vinay Mehta, M.D.
• Juan Alberto Mejia, PTA

• Dental Clinic/Center in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.