Diana Xa D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38944 Issued in CA

Legal business name

DIANA XA D.D.S., INC.

Practice address

7154 Edinger Ave
Huntington Beach, CA 92647-3505

Phone

(714) 847-7800

Fax

(714) 847-4010

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Diana Tu-Dieu Xa

Title

President

Phone

(714) 847-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden Smile Dental Doing business as

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346399417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7154 EDINGER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473505",
            "telephone_number": "714-847-7800",
            "fax_number": "714-847-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7154 EDINGER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473505",
            "telephone_number": "714-847-7800",
            "fax_number": "714-847-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA XA D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "XA",
        "authorized_official_first_name": "DIANA TU-DIEU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-847-7800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B38944",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Devalk
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• Dia Enterprises Inc
• Dia Enterprises Inc
• Adriana Diaz
• Andrea A Diaz
• Joshua Diaz
• Juliana Diaz
• Kimberly Diaz

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.