Kagalwala Professional Dental Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47915 Issued in CA

Legal business name

KAGALWALA PROFESSIONAL DENTAL INC.

Doing business as

Trabuco Hills Dentistry

Practice address

27775 Santa Margarita Pkwy Ste E
Mission Viejo, CA 92691-6702

Phone

(949) 859-1400

Fax

(949) 859-1500

NPI assigned

Apr 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ami Kagalwala, D.D.S.

Title

President

Phone

(949) 859-1400

Specialties & licenses 1

Addresses

Other names 1

• Trabuco Hills Dentistry Doing business as

Locations

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1356631014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27775 SANTA MARGARITA PKWY STE E",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916702",
            "telephone_number": "949-859-1400",
            "fax_number": "949-859-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27775 SANTA MARGARITA PKWY STE E",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916702",
            "telephone_number": "949-859-1400",
            "fax_number": "949-859-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAGALWALA PROFESSIONAL DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "KAGALWALA",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-859-1400",
        "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": "47915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trabuco Hills Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Mission Viejo, CA
• Providers in Mission Viejo, 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 Apr 14, 2011; 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.