NPIMap

Organization Active NPI

Dr. Alice P. Moran, DMD, Apc

  • Dental Clinic/Center
  • San Clemente, CA
National Provider Identifier
1295890994
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
48514 Issued in CA
Legal business name
DR. ALICE P. MORAN, DMD, APC
Practice address
1001 Avenida Pico
Suite K
San Clemente, CA 92673-6957
Phone
(949) 361-4867
Fax
(949) 361-4868
NPI assigned
Dec 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Dr. Alice Poley MoranNPI 1316372279
Title
President
Phone
(949) 338-7103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 48514 CA Primary

Addresses

Primary practice location

1001 Avenida Pico
Suite K
San Clemente, CA 92673-6957

Mailing address

1001 Avenida Pico
Suite K
San Clemente, CA 92673-6957
Phone (949) 361-4867

National Provider Directory

National Provider Directory

Locations

1001 Avenida Pico
Ste K
San Clemente, CA 92673
Phone (949) 361-4867

Practitioners & affiliated clinicians

Practitioners 2

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": "1167004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1295890994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO",
            "address_2": "SUITE K",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736957",
            "telephone_number": "949-361-4867",
            "fax_number": "949-361-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO",
            "address_2": "SUITE K",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736957",
            "telephone_number": "949-361-4867",
            "fax_number": "949-361-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALICE P. MORAN, DMD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-25",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "POLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-338-7103",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.