Organization Active NPI

Christopher W. Leyster, DDS, a Professional Corporation

Doing business as Pacific Grins Kids Dental & Orthodontics

  • Pediatric Dentistry
  • Orange, CA
National Provider Identifier
1255136941
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHRISTOPHER W. LEYSTER, DDS, A PROFESSIONAL CORPORATION
Doing business as
Pacific Grins Kids Dental & Orthodontics
Practice address
125 N Tustin St Ste B
Orange, CA 92867-7755
Phone
(714) 587-4339
NPI assigned
Feb 17, 2025
Last updated
Oct 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTOPHER W. LEYSTER, DDS, A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Cassandra Wieth
Title
Payor Relations Manager
Phone
(623) 267-8121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

125 N Tustin St Ste B
Orange, CA 92867-7755

Mailing address

125 N Tustin St Ste B
Orange, CA 92867-7755

Other names 1

  • Pacific Grins Kids Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christopher W Leyster DDS a Professional Corporation4 organizations share this tax ID, including this one
Part of
Christopher W Leyster DDS a Professional Corporation

Other organizations with this tax ID 3

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

Locations

125 N Tustin St
Ste B
Orange, CA 92867
Phone (714) 587-4339

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1255136941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N TUSTIN ST STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N TUSTIN ST STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677755",
            "telephone_number": "714-587-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER W. LEYSTER, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTOPHER W. LEYSTER, DDS, A PROFESSIONAL CORPORATION",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "WIETH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "PAYOR RELATIONS MANAGER",
        "authorized_official_telephone_number": "623-267-8121"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Grins Kids Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.