NPIMap

Organization Active NPI

Diana Craft DDS Inc.

  • General Practice Dentistry
  • San Clemente, CA
National Provider Identifier
1326441718
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58674 Issued in CA
Legal business name
DIANA CRAFT DDS INC.
Practice address
1161 Puerta del Sol
Suite 100
San Clemente, CA 92673-6311
Phone
(949) 218-0433
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Diana Craft, DDSNPI 1477717627
Title
Owner/ Dentist
Phone
(949) 218-0433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 58674 CA Primary

Addresses

Primary practice location

1161 Puerta del Sol
Suite 100
San Clemente, CA 92673-6311

Mailing address

1161 Puerta del Sol
Suite 100
San Clemente, CA 92673-6311
Phone (949) 218-0433

National Provider Directory

National Provider Directory

Locations

1161 Puerta del Sol
#100
San Clemente, CA 92673
Phone (949) 218-0433

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1326441718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 PUERTA DEL SOL",
            "address_2": "SUITE 100",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736311",
            "telephone_number": "949-218-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 PUERTA DEL SOL",
            "address_2": "SUITE 100",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736311",
            "telephone_number": "949-218-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA CRAFT DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "949-218-0433",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.