NPIMap

Organization Active NPI

South Coast Dental Specialties

  • Dental Clinic/Center
  • Laguna Niguel, CA
National Provider Identifier
1376766006
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SOUTH COAST DENTAL SPECIALTIES
Practice address
30140 Town Center Drive
Suite B
Laguna Niguel, CA 92677
Phone
(949) 363-2540
Fax
(949) 363-3352
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mrs. Mary Lynn Stay
Title
Office Manager
Phone
(949) 363-2540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

30140 Town Center Drive
Suite B
Laguna Niguel, CA 92677

Mailing address

30190 Town Center Drive
Suite B
Laguna Niguel, CA 92677
Phone (949) 363-2540

National Provider Directory

National Provider Directory
Tax ID family
Racho Niguel Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

30190 Town Center Dr
Ste B
Laguna Niguel, CA 92677
Phone (949) 363-2540

30140 Town Center Dr
Ste B
Laguna Niguel, CA 92677
Phone (949) 363-2540

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1376766006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30190 TOWN CENTER DRIVE",
            "address_2": "SUITE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "949-363-2540",
            "fax_number": "949-363-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30140 TOWN CENTER DRIVE",
            "address_2": "SUITE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "949-363-2540",
            "fax_number": "949-363-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST DENTAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "STAY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-363-2540",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.