NPIMap

Organization Active NPI

Community Dental Services

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1487725347
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COMMUNITY DENTAL SERVICES
Practice address
3500 S Bristol St
Suite 100
Santa Ana, CA 92704-7319
Phone
(714) 957-6030
Fax
(714) 437-5305
NPI assigned
Nov 13, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Elaine Salcido
Title
Contract Supervisor
Phone
(714) 708-5308

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Community Dental Services (59 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3500 S Bristol St
Suite 100
Santa Ana, CA 92704-7319

Mailing address

2 Macarthur PL
Suite 700
Santa Ana, CA 92707-5924
Phone (714) 708-5308

Other names 1

NPPES NPI Registry
  • SmileCare Dental Group Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487725347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MACARTHUR PL",
            "address_2": "SUITE 700",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075924",
            "telephone_number": "714-708-5308",
            "fax_number": "714-708-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S BRISTOL ST",
            "address_2": "SUITE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047319",
            "telephone_number": "714-957-6030",
            "fax_number": "714-437-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALCIDO",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CONTRACT SUPERVISOR",
        "authorized_official_telephone_number": "714-708-5308",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileCare Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, 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.