Organization Active NPI

Hung X DO DDS PC

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1457416133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44865 Issued in CA
Legal business name
HUNG X DO DDS PC
Practice address
15415 Jeffrey Rd Ste 104
Irvine, CA 92618-4103
Phone
(949) 654-5454
Fax
(949) 654-5474
NPI assigned
Dec 24, 2006
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. Hung Xuan DO, D.D.S.NPI 1477007078
Title
President
Phone
(949) 654-5454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44865 CA Primary

Addresses

Primary practice location

15415 Jeffrey Rd Ste 104
Irvine, CA 92618-4103

Mailing address

15415 Jeffrey Rd Ste 104
Irvine, CA 92618-4103
Phone (949) 654-5454

National Provider Directory

National Provider Directory

Locations

15415 Jeffrey Rd
Ste 104
Irvine, CA 92618
Phone (949) 654-5454

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457416133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15415 JEFFREY RD STE 104",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184103",
            "telephone_number": "949-654-5454",
            "fax_number": "949-654-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15415 JEFFREY RD STE 104",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184103",
            "telephone_number": "949-654-5454",
            "fax_number": "949-654-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNG X DO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "HUNG",
        "authorized_official_middle_name": "XUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-654-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, 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.