David M. Diaz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30642 Issued in CA

Legal business name

DAVID M. DIAZ, DDS

Practice address

1109 W 17TH St
Santa Ana, CA 92706-3505

Phone

(714) 835-2383

Fax

(714) 835-3917

NPI assigned

May 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Teresa D. Battista

Title

Manager

Phone

(714) 835-2383

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477754901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063505",
            "telephone_number": "714-835-2383",
            "fax_number": "714-835-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063505",
            "telephone_number": "714-835-2383",
            "fax_number": "714-835-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. DIAZ, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BATTISTA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-835-2383",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Santa Ana, CA
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• Dentist in California

• 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.