NPIMap

Organization Active NPI

George Xenakis, DDS, PC

  • Dental Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1386004182
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
10130 Garden Grove Blvd
#201
Garden Grove, CA 92844-1689
Phone
(714) 636-0088
Fax
(714) 636-0089
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

10130 Garden Grove Blvd
#201
Garden Grove, CA 92844-1689

Mailing address

10130 Garden Grove Blvd
#201
Garden Grove, CA 92844-1689
Phone (714) 636-0088

Other names 1

  • U Dream Dental - Garden Grove 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

10130 Garden Grove Blvd
Ste 201
Garden Grove, CA 92844
Phone (714) 636-0088

Practitioners & affiliated clinicians

Practitioners 1

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": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1386004182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 GARDEN GROVE BLVD",
            "address_2": "#201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441689",
            "telephone_number": "714-636-0088",
            "fax_number": "714-636-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 GARDEN GROVE BLVD",
            "address_2": "#201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441689",
            "telephone_number": "714-636-0088",
            "fax_number": "714-636-0089"
        }
    ],
    "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 - Garden Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, 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.