Active NPI
Marie Antoinette Orejudos DMD Inc.
- Dental Clinic/Center
- Anaheim, CA
National Provider Identifier
1477375160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MARIE ANTOINETTE OREJUDOS DMD INC.
- Practice address
- 215 N State College Blvd Ste J
Anaheim, CA 92806-2995 - Phone
- (714) 795-9804
- NPI assigned
- Oct 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie Antoinette Dyquiangco Orejudos, DMD
- Title
- Ceo
- Phone
- (714) 795-9804
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
215 N State College Blvd Ste J
Anaheim, CA 92806-2995
Mailing address
610 S Fann PL
Anaheim, CA 92804-2623
Phone (714) 795-9804
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Anaheim, CA
- NPI 1649943986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730073600000",
"number": "1477375160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S FANN PL",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928042623",
"telephone_number": "714-795-9804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N STATE COLLEGE BLVD STE J",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928062995",
"telephone_number": "714-795-9804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIE ANTOINETTE OREJUDOS DMD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-25",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A",
"authorized_official_last_name": "OREJUDOS",
"authorized_official_first_name": "MARIE ANTOINETTE",
"authorized_official_middle_name": "DYQUIANGCO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-795-9804",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.