David a. Meloni D.D.S. Professional Corp.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DAVID A. MELONI D.D.S. PROFESSIONAL CORP.

Practice address

1442 Irvine Blvd
Suite #105
Tustin, CA 92780-3801

Phone

(714) 832-2236

Fax

(714) 832-8109

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David A. Meloni, D.D.S.

Title

Dentist

Phone

(714) 832-2236

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457562373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 IRVINE BLVD",
            "address_2": "SUITE #105",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803801",
            "telephone_number": "714-832-2236",
            "fax_number": "714-832-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 IRVINE BLVD",
            "address_2": "SUITE #105",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803801",
            "telephone_number": "714-832-2236",
            "fax_number": "714-832-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. MELONI D.D.S. PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELONI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-832-2236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 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.