Active NPI
My Kid's Dentist of Lake Forest, Prof. Corp.
Doing business as My Kid's Dentist & Orthodontics of Lake Forest
- General Practice Dentistry
- Lake Forest, CA
National Provider Identifier
1366355000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MY KID'S DENTIST OF LAKE FOREST, PROF. CORP.
- Doing business as
- My Kid's Dentist & Orthodontics of Lake Forest
- Practice address
- 23708 El Toro Rd Ste B
Lake Forest, CA 92630-8907 - Phone
- (949) 234-6799
- Fax
- (949) 238-2620
- NPI assigned
- Sep 24, 2026
- Last updated
- Sep 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Noh, DDS
- Title
- Owner
- Phone
- (949) 234-6799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
23708 El Toro Rd Ste B
Lake Forest, CA 92630-8907
Mailing address
PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890
Other names 1
- My Kid's Dentist & Orthodontics of Lake Forest
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790208000000",
"number": "1366355000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660041",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660041",
"telephone_number": "714-845-8890",
"fax_number": "303-952-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23708 EL TORO RD STE B",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926308907",
"telephone_number": "949-234-6799",
"fax_number": "949-238-2620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY KID'S DENTIST OF LAKE FOREST, PROF. CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A",
"authorized_official_last_name": "NOH",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-234-6799",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "My Kid's Dentist & Orthodontics of Lake Forest",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.