Individual provider Active NPI

Renato Limberte, DR

  • General Practice Dentistry
  • Costa Mesa, CA
National Provider Identifier
1265201859
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
109210 Issued in CA
Practice address
2706 Harbor Blvd Ste C
Costa Mesa, CA 92626-5171
Phone
(714) 592-7800
NPI assigned
Dec 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 109210 CA Primary

Addresses

Primary practice location

2706 Harbor Blvd Ste C
Costa Mesa, CA 92626-5171

Mailing address

296 E 15TH St Unit B
Costa Mesa, CA 92627-3741
Phone (949) 386-4887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
109210CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1265201859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 E 15TH ST UNIT B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273741",
            "telephone_number": "949-386-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 HARBOR BLVD STE C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265171",
            "telephone_number": "714-592-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMBERTE",
        "first_name": "RENATO",
        "credential": "DR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 25, 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.