NPIMap

Organization Active NPI

Roger S. Cullen Dental Corp.

  • Dentist
  • Mission Viejo, CA
National Provider Identifier
1386859528
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24220 Issued in CA
Legal business name
ROGER S. CULLEN DENTAL CORP.
Practice address
25270 Marguerite Pkwy Ste C
Mission Viejo, CA 92692-2910
Phone
(949) 586-8530
Fax
(949) 951-1407
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roger S. Cullen, DDS
Title
President
Phone
(949) 586-8530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 24220 CA Primary

Addresses

Primary practice location

25270 Marguerite Pkwy Ste C
Mission Viejo, CA 92692-2910

Mailing address

25270 Marguerite Pkwy Ste C
Mission Viejo, CA 92692-2910
Phone (949) 586-8530

National Provider Directory

National Provider Directory

Locations

25270 Marguerite Pkwy
Ste C
Mission Viejo, CA 92692
Phone (949) 586-8530

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386859528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25270 MARGUERITE PKWY STE C",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926922910",
            "telephone_number": "949-586-8530",
            "fax_number": "949-951-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25270 MARGUERITE PKWY STE C",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926922910",
            "telephone_number": "949-586-8530",
            "fax_number": "949-951-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER S. CULLEN DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-586-8530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "24220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.