Organization Active NPI

Joseph Renzi, Jr., D.D.S., Inc.

  • Dental Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1407078363
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D29430 Issued in CA
Legal business name
JOSEPH RENZI, JR., D.D.S., INC.
Practice address
999 N Tustin Ave Ste 219
Santa Ana, CA 92705-6506
Phone
(714) 972-1359
NPI assigned
May 2, 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. Joseph Renzi Jr., DDS
Title
Pediatric Dentist
Phone
(714) 972-1359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D29430 CA Primary

Addresses

Primary practice location

999 N Tustin Ave Ste 219
Santa Ana, CA 92705-6506

Mailing address

999 N Tustin Ave Ste 219
Santa Ana, CA 92705-6506

National Provider Directory

National Provider Directory

Locations

999 N Tustin Ave
Ste 219
Santa Ana, CA 92705
Phone (714) 541-4185

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407078363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE STE 219",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE STE 219",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056506",
            "telephone_number": "714-972-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH RENZI, JR., D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENZI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "714-972-1359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "D29430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, 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.