John T. Eli, D.M.D., M.S.D., Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

52381 Issued in CA

Legal business name

JOHN T. ELI, D.M.D., M.S.D., INC.

Practice address

21791 Lake Forest Dr
Suite 204
Lake Forest, CA 92630-2760

Phone

(949) 855-8480

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John T Eli, D.M.D., M.S.D.

Title

Orthodontist

Phone

(949) 855-8480

Specialties & licenses 1

Addresses

Other names 1

• Eli Orthodontics Other name

Locations

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1295914158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21791 LAKE FOREST DR",
            "address_2": "SUITE 204",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302760",
            "telephone_number": "949-855-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21791 LAKE FOREST DR",
            "address_2": "SUITE 204",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302760",
            "telephone_number": "949-855-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T. ELI, D.M.D., M.S.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "ELI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "949-855-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "52381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eli Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaydin Jimenez
• Wei Jing, LAC.
• Jino Park DDS Inc
• JLMM Inc.
• John Celis, O.D., a Professional Corporation
• Kurt A Johnson
• Madison Johnson
• Tony Johnson
• Alexys Jordyn Jolstead
• Jon D. Morrison, O.D. a Professional Corporation

• Orthodontics and Dentofacial Orthopedics Dentistry in Lake Forest, CA
• Providers in Lake Forest, 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 Oct 29, 2007; 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.