NPIMap

Organization Active NPI

Boyd Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mission Viejo, CA
National Provider Identifier
1245629427
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
44328 Issued in CA
Legal business name
BOYD DENTAL CORPORATION
Doing business as
Alicia Orthodontic & Pediatric Specialties
Practice address
24481 Alicia Pkwy
Suite B-3
Mission Viejo, CA 92691-4534
Phone
(949) 586-9800
NPI assigned
Jan 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Debbie Canu
Title
Finance Manager
Phone
(949) 600-7046

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 48814 CA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 44328 CA Primary

Addresses

Primary practice location

24481 Alicia Pkwy
Suite B-3
Mission Viejo, CA 92691-4534

Mailing address

27 Spectrum Pointe Dr
Suite 308
Lake Forest, CA 92630-2273
Phone (949) 600-7046

Other names 1

  • Alicia Orthodontic & Pediatric Specialties Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alicia Orthodontic Pediatric Specialties4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27 Spectrum Pointe Dr
Ste 308
Lake Forest, CA 92630

24481 Alicia Pkwy
Ste B3
Mission Viejo, CA 92691
Phone (949) 586-9800

Practitioners & affiliated clinicians

Practitioners 3

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": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1245629427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SPECTRUM POINTE DR",
            "address_2": "SUITE 308",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302273",
            "telephone_number": "949-600-7046",
            "fax_number": "949-600-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24481 ALICIA PKWY",
            "address_2": "SUITE B-3",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914534",
            "telephone_number": "949-586-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "CANU",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "949-600-7046"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "48814",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "44328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alicia Orthodontic & Pediatric Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.