Organization Active NPI

Smilendodontics Inc

  • Endodontics
  • Fountain Valley, CA
National Provider Identifier
1437686482
Registry record updated May 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
60157 Issued in CA
Legal business name
SMILENDODONTICS INC
Practice address
9520 Talbert Ave
Fountain Valley, CA 92708-5145
Phone
(714) 587-9041
NPI assigned
May 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2017

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

Authorized official

Name
Michelle Dang
Title
Endodontist
Phone
(626) 552-8207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 60157 CA Primary

Addresses

Primary practice location

9520 Talbert Ave
Fountain Valley, CA 92708-5145

Mailing address

9520 Talbert Ave
Fountain Valley, CA 92708-5145

Other identifiers 1

IdentifierTypeStateIssuer
1205148921OtherCAENDODONTIST

National Provider Directory

National Provider Directory

Locations

9520 Talbert Ave
Fountain Valley, CA 92708
Phone (714) 587-9041

NPI Registry JSON

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

{
    "created_epoch": "1495238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495238400000",
    "number": "1437686482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 TALBERT AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 TALBERT AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085145",
            "telephone_number": "714-587-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILENDODONTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-20",
        "last_updated": "2017-05-20",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "626-552-8207"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "60157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENDODONTIST",
            "identifier": "1205148921",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2017; 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.