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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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.
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Santa Monica, CA
- NPI 1518339787
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.