Vanson Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

VANSON DENTAL CORPORATION

Doing business as

Tustin Legacy Dentistry Dental Group

Practice address

15160 Kensington Park Drive, Ste 610
Tustin, CA 92782

Phone

(714) 294-0807

Fax

(714) 294-0808

NPI assigned

Jun 29, 2017

Last updated

Feb 1, 2022By 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

Linda M Vanson, DDS

Title

Owner

Phone

(714) 294-0807

Specialties & licenses 1

Addresses

Other names 1

• Tustin Legacy Dentistry Dental Group Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivana Feng Lee, DDS

  • Dentist
  • Tustin, CA
  • NPI 1043862600
  NPD (past)
• Lily Pham, DDS

  • General Practice Dentistry
  • Ladera Ranch, CA
  • NPI 1164026415
  NPD (past)
• Lucas Stephens, DMD

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1063965986
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1487175410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15160 KENSINGTON PARK DRIVE, STE 610",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92782",
            "telephone_number": "714-294-0807",
            "fax_number": "714-294-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANSON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "VANSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-294-0807",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tustin Legacy Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tustin Legacy Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen Van Der Heyden
• Diane C Van Leeuwen, D.C.
• Van T Nguyen (Van Nguyen LCSW)
• Rachel N Van Vliet, M.S., CCC-SLP
• Ashley Nicole Van
• Alex Vanson, PHARM D
• Angelica Esmeralda Vargas
• Crystal Lea Vargas
• Jessica Vargas
• Ajay Varghese, DMD

• Dentist in Tustin, CA
• Providers in Tustin, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.