Dennis R. Long, M.D. Inc.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

00G472430 Issued in CA

Legal business name

DENNIS R. LONG, M.D. INC.

Practice address

2601 E Chapman Ave
Orange, CA 92869-3206

Phone

(951) 532-5005

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sandi Williamson

Title

Office Manager

Phone

(951) 532-5005

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1407954852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928600068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693206",
            "telephone_number": "951-532-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS R. LONG, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-532-5005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "00G472430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "00G472430",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "HG47243",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G472430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bela Stephen Denes Sr., M.D.
• Doris Z Deng
• Brooke S Denholm, CCC-SLP
• Mary Therese Denicola, NP
• Nathaniel Gregg Denicola, MD
• Alexander Dennis
• Meredith Leigh Dennis, PHD
• Reagan Caroline Denny
• Dental Spa of Orange
• Brooke Denton

• Legal Medicine in Orange, CA
• Providers in Orange, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.