NPIMap

Organization Active NPI

Sandarg Dentistry

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1356516868
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SANDARG DENTISTRY
Practice address
17655 Harvard Ave
Suite F
Irvine, CA 92614-8548
Phone
(949) 833-8884
Fax
(949) 833-8326
NPI assigned
Apr 25, 2008
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
GERALD W SANDARGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Dr. Gerald William Sandarg, D.D.S.
Title
Owner
Phone
(949) 833-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

17655 Harvard Ave
Suite F
Irvine, CA 92614-8548

Mailing address

17655 Harvard Ave
Suite F
Irvine, CA 92614-8548
Phone (949) 833-8884

National Provider Directory

National Provider Directory
Part of
Sandarg Dentistry

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": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1356516868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17655 HARVARD AVE",
            "address_2": "SUITE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926148548",
            "telephone_number": "949-833-8884",
            "fax_number": "949-833-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17655 HARVARD AVE",
            "address_2": "SUITE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926148548",
            "telephone_number": "949-833-8884",
            "fax_number": "949-833-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDARG DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GERALD W SANDARG",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "SANDARG",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-833-8884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.