Eduardo Correa D.D.S., Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

53901 Issued in CA

Legal business name

EDUARDO CORREA D.D.S., INC

Practice address

744 E Chapman Ave
#5
Orange, CA 92866-1621

Phone

(714) 538-5582

Fax

(714) 538-5589

NPI assigned

Sep 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Eduardo Correa, D.D.S

Title

Owner

Phone

(714) 538-5582

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1396052734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 E CHAPMAN AVE",
            "address_2": "#5",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661621",
            "telephone_number": "714-538-5582",
            "fax_number": "714-538-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 E CHAPMAN AVE",
            "address_2": "#5",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661621",
            "telephone_number": "714-538-5582",
            "fax_number": "714-538-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO CORREA D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-538-5582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Keith Edmondson
• Kyle Brandon Edquist, B.A. PSYCHOLOGY
• Defranco Esteban Edrei
• Dione Edrosolano
• Tamara Lynne Edson, OTR/L
• Edward C. Kravitz, M.D., Incorporated
• Edward S Lee MD a Professional Corporation
• Elena Louise Edwards, CADCA
• Gabriella Diedre Edwards
• Mitchell Ryan Edwards, D.O.

• Pediatric Dentistry in Orange, CA
• Providers in Orange, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.