Organization Active NPI

Sienna Palmer Ogbevoen DDS, Inc.

Doing business as Palm Dentistry Sienna Palmer Ogbevoen DDS, Inc.

  • Dentist
  • Mission Viejo, CA
National Provider Identifier
1306447057
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SIENNA PALMER OGBEVOEN DDS, INC.
Doing business as
Palm Dentistry Sienna Palmer Ogbevoen DDS, Inc.
Practice address
27871 Medical Center Rd Ste 290
Mission Viejo, CA 92691-6440
Phone
(949) 635-0951
NPI assigned
Nov 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Sienna Palmer Ogbevoen, DDS
Title
President
Phone
(949) 375-2413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

27871 Medical Center Rd Ste 290
Mission Viejo, CA 92691-6440

Mailing address

27871 Medical Center Rd Ste 290
Mission Viejo, CA 92691-6440
Phone (949) 635-0951

Other names 1

  • Palm Dentistry Sienna Palmer Ogbevoen DDS, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

27871 Medical Center Rd
Ste 290
Mission Viejo, CA 92691
Phone (949) 365-0951

Practitioners & affiliated clinicians

Practitioners 1

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": "1604707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1306447057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD STE 290",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916440",
            "telephone_number": "949-635-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD STE 290",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916440",
            "telephone_number": "949-635-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIENNA PALMER OGBEVOEN DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-07",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "OGBEVOEN",
        "authorized_official_first_name": "SIENNA",
        "authorized_official_middle_name": "PALMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-375-2413",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Dentistry Sienna Palmer Ogbevoen DDS, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.