Organization Active NPI

Cox Dental Coprporation

Doing business as Gentle Dental Costa Mesa

  • General Practice Dentistry
  • Costa Mesa, CA
National Provider Identifier
1396966248
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26160 Issued in CA
Legal business name
COX DENTAL COPRPORATION
Doing business as
Gentle Dental Costa Mesa
Practice address
2000 N Harbor Blvd
Ste B-100
Costa Mesa, CA 92627-2601
Phone
(949) 645-5070
Fax
(949) 645-4325
NPI assigned
May 1, 2007
Last updated
Jan 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Dr. William J Cox, DDS
Title
President
Phone
(360) 869-7645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 26160 CA Primary

Addresses

Primary practice location

2000 N Harbor Blvd
Ste B-100
Costa Mesa, CA 92627-2601

Mailing address

1101 SE Tech Center Drive
Ste 195
Vancouver, WA 98683-5511
Phone (360) 869-7645

Other names 2

  • Gentle Dental Costa Mesa Doing business as
  • Cox Professional Dental Corporation Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Cox Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2000 Harbor Blvd
Ste B100
Costa Mesa, CA 92627
Phone (949) 444-5307

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1396966248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SE TECH CENTER DRIVE",
            "address_2": "STE 195",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835511",
            "telephone_number": "360-869-7645",
            "fax_number": "866-227-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N HARBOR BLVD",
            "address_2": "STE B-100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272601",
            "telephone_number": "949-645-5070",
            "fax_number": "949-645-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COX DENTAL COPRPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-869-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental Costa Mesa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cox Professional Dental Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.