NPIMap

Organization Active NPI

Saddleback Dental Associates

  • Dentist
  • Mission Viejo, CA
National Provider Identifier
1306999818
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35490 Issued in CA
Legal business name
SADDLEBACK DENTAL ASSOCIATES
Practice address
25542 Jeronimo Rd Ste 3
Mission Viejo, CA 92691-2724
Phone
(949) 457-0223
Fax
(949) 588-2766
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Authorized official

Name
Alexander Marose, DDS/ORAL SURGEON
Title
Owner
Phone
(949) 457-0223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 35490 CA Primary

Addresses

Primary practice location

25542 Jeronimo Rd Ste 3
Mission Viejo, CA 92691-2724

Mailing address

25542 Jeronimo Rd Ste 3
Mission Viejo, CA 92691-2724
Phone (949) 457-0223

Other practice location 1

23166 Los Alisos Blvd
#230
Mission Viejo, CA 92691
Phone (949) 457-0223

Other names 1

  • Alexander Marose Other name

National Provider Directory

National Provider Directory

Locations

23166 Los Alisos Blvd
Ste 230
Mission Viejo, CA 92691
Phone (949) 457-0223

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604188800000",
    "number": "1306999818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25542 JERONIMO RD STE 3",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912724",
            "telephone_number": "949-457-0223",
            "fax_number": "949-588-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25542 JERONIMO RD STE 3",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912724",
            "telephone_number": "949-457-0223",
            "fax_number": "949-588-2766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23166 Los Alisos Blvd",
            "address_2": "#230",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "92691",
            "country_code": "US",
            "telephone_number": "949-457-0223",
            "fax_number": "949-588-2766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SADDLEBACK DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A",
        "authorized_official_last_name": "MAROSE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-457-0223",
        "authorized_official_credential": "DDS/ORAL SURGEON"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "35490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexander Marose",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 1, 2020; 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.