Active NPI
John Digiovanni, D.D.S.,M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Laguna Beach, CA
National Provider Identifier
1326257270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 39146
- Practice address
- 1166 Glenneyre St
Laguna Beach, CA 92651-2908 - Phone
- (949) 494-8555
- Fax
- (949) 494-7671
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 39146 | CA | Primary |
Addresses
Primary practice location
1166 Glenneyre St
Laguna Beach, CA 92651-2908
Mailing address
1166 Glenneyre St
Laguna Beach, CA 92651-2908
Phone (949) 494-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39146 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1326257270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 GLENNEYRE ST",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512908",
"telephone_number": "949-494-8555",
"fax_number": "949-494-7671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 GLENNEYRE ST",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512908",
"telephone_number": "949-494-8555",
"fax_number": "949-494-7671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGIOVANNI",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "39146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.