Lustig and Young Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

44088 Issued in CA

Legal business name

LUSTIG AND YOUNG DENTAL CORPORATION

Doing business as

Cool Smiles Orthodontics

Practice address

13297 Jamboree Rd
Tustin, CA 92782-9159

Phone

(714) 730-6600

Fax

(951) 776-1571

NPI assigned

Dec 17, 2010

Organization subpart

No

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

Authorized official

Name

Andrew Young, DDS, MS

Title

Owner

Phone

(714) 730-6600

Specialties & licenses 2

Addresses

Other names 1

• Cool Smiles Orthodontics Doing business as

Locations

Practitioners 4

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

• Kashif Ismail, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tustin, CA
  • NPI 1235324880
  NPD
• Payal Patel, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tustin, CA
  • NPI 1790149193
  NPD
• Sohail I. Simjee, DMD, INC.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tustin, CA
  • NPI 1881738193
  NPD
• Theodora Triphon, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tustin, CA
  • NPI 1871090720
  NPD

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1255634903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13297 JAMBOREE RD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927829159",
            "telephone_number": "714-730-6600",
            "fax_number": "714-730-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13297 JAMBOREE RD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927829159",
            "telephone_number": "714-730-6600",
            "fax_number": "951-776-1571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18876 Van Buren Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925089114",
            "country_code": "US",
            "telephone_number": "951-776-1376",
            "fax_number": "951-776-1571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 W Nuevo Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925710859",
            "country_code": "US",
            "telephone_number": "951-943-0666",
            "fax_number": "951-776-1571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31577 Canyon Estates Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925320473",
            "country_code": "US",
            "telephone_number": "951-471-0194",
            "fax_number": "951-776-1571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 Fullerton Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928813109",
            "country_code": "US",
            "telephone_number": "951-736-5700",
            "fax_number": "951-776-1571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 N Pepper Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923246717",
            "country_code": "US",
            "telephone_number": "909-736-5700",
            "fax_number": "951-776-1571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUSTIG AND YOUNG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-730-6600",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "44088",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cool Smiles Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cool Smiles Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Willis Luce, PH.D., MT-BC
• Michelle Camille Lucio, M.S.
• Nicole Luck
• Britney Luong
• Jennifer N/a Luong, NP
• Henry C. Luu
• Luzwave Art of Healing Inc.
• Luzwave Healthy Pathways Inc.
• Mai Xuan Ly, D.D.S.
• Phillip Loung Ly

• Orthodontics and Dentofacial Orthopedics Dentistry in Tustin, CA
• Providers in Tustin, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.