Dr. John M. Delaney Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24098 Issued in CA

Legal business name

DR. JOHN M. DELANEY DENTAL CORPORATION

Practice address

1161 N Euclid St
Anaheim, CA 92801-1938

Phone

(714) 999-5050

Fax

(714) 999-2906

NPI assigned

Sep 16, 2016

Organization subpart

No

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

Authorized official

Name

Michael Martinez

Title

Office Manager

Phone

(714) 999-5050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1407304660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011938",
            "telephone_number": "714-999-5050",
            "fax_number": "714-999-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011938",
            "telephone_number": "714-999-5050",
            "fax_number": "714-999-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN M. DELANEY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-999-5050"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.