Organization 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
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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)CodeLicenseStatePrimary
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 Doing business as

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.

Verify at the official NPI Registry.