NPIMap

Organization Active NPI

George Xenakis, DDS, PC

  • Dental Clinic/Center
  • Fullerton, CA
National Provider Identifier
1376903195
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
64232 Issued in CA
Legal business name
GEORGE XENAKIS, DDS, PC
Practice address
1961 W Malvern Ave
Suite G
Fullerton, CA 92833-2177
Phone
(714) 525-6900
Fax
(714) 525-6905
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Dr. George Xenakis, D.D.S
Title
Owner
Phone
(917) 374-5082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 64232 CA Primary

Addresses

Primary practice location

1961 W Malvern Ave
Suite G
Fullerton, CA 92833-2177

Mailing address

1961 W Malvern Ave
Suite G
Fullerton, CA 92833-2177
Phone (714) 525-6900

Other names 1

  • U Dream Dental - Fullerton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
George Xenakis DDS PC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1961 W Malvern Ave
Ste G
Fullerton, CA 92833
Phone (562) 356-0948

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1376903195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 W MALVERN AVE",
            "address_2": "SUITE G",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332177",
            "telephone_number": "714-525-6900",
            "fax_number": "714-525-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 W MALVERN AVE",
            "address_2": "SUITE G",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332177",
            "telephone_number": "714-525-6900",
            "fax_number": "714-525-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE XENAKIS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "XENAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-374-5082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U Dream Dental - Fullerton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.