JMS Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JMS DENTAL CORPORATION

Practice address

2184 Avocado Dr
Tustin, CA 92782-8346

Phone

(949) 235-7515

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

Mirna Estela Velasquez, MAED

Title

Partner/Business Manager

Phone

(714) 661-6082

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1386464394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 AVOCADO DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828346",
            "telephone_number": "949-235-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 AVOCADO DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828346",
            "telephone_number": "949-235-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "MIRNA",
        "authorized_official_middle_name": "ESTELA",
        "authorized_official_title_or_position": "PARTNER/BUSINESS MANAGER",
        "authorized_official_telephone_number": "714-661-6082",
        "authorized_official_credential": "MAED"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Tustin, CA
• Providers in Tustin, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.