Organization Active NPI

David Niemiec D.D.S. ,Inc.

  • General Practice Dentistry
  • Newport Beach, CA
National Provider Identifier
1336404995
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60358 Issued in CA
Legal business name
DAVID NIEMIEC D.D.S. ,INC.
Practice address
601 Dover Dr
Suite 12
Newport Beach, CA 92663-5735
Phone
(765) 265-7664
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Dr. David Niemiec, D.D.S.
Title
President
Phone
(765) 265-7664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 60358 CA Primary

Addresses

Primary practice location

601 Dover Dr
Suite 12
Newport Beach, CA 92663-5735

Mailing address

601 Dover Dr
Suite 12
Newport Beach, CA 92663-5735
Phone (765) 265-7664

National Provider Directory

National Provider Directory

Locations

601 Dover Dr
Ste 12
Newport Beach, CA 92663
Phone (949) 650-0222

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1336404995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DOVER DR",
            "address_2": "SUITE 12",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635735",
            "telephone_number": "765-265-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DOVER DR",
            "address_2": "SUITE 12",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635735",
            "telephone_number": "765-265-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID NIEMIEC D.D.S. ,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "NIEMIEC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-265-7664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.