Active NPI
Assistance League of Newport Mesa
- General Practice Dentistry
- Costa Mesa, CA
National Provider Identifier
1235679804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ASSISTANCE LEAGUE OF NEWPORT MESA
- Practice address
- 2220 Fairview Rd
Costa Mesa, CA 92627-1624 - Phone
- (949) 645-2882
- NPI assigned
- Mar 2, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Barbara Muller Maberry
- Title
- President
- Phone
- (949) 645-2882
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | |||
| Dental Hygienist | 124Q00000X |
Addresses
Primary practice location
2220 Fairview Rd
Costa Mesa, CA 92627-1624
Mailing address
2220 Fairview Rd
Costa Mesa, CA 92627-1624
Phone (949) 645-2882
Other names 1
- Cheri Harris Children's Dental Health Center
National Provider Directory
National Provider Directory- Tax ID family
- Assistance League of Newport Mesa
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Costa Mesa, CA
- NPI 1942608435
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Hygienist
- Costa Mesa, CA
- NPI 1144764606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488412800000",
"number": "1235679804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 FAIRVIEW RD",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271624",
"telephone_number": "949-645-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 FAIRVIEW RD",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271624",
"telephone_number": "949-645-2882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSISTANCE LEAGUE OF NEWPORT MESA",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A",
"authorized_official_last_name": "MABERRY",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "MULLER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-645-2882",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cheri Harris Children's Dental Health Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.