Mission Viejo Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MISSION VIEJO DENTAL GROUP

Practice address

26730 Towne Centre Dr Ste 101
Foothill Ranch, CA 92610-2857

Phone

(949) 859-8599

Fax

(949) 859-1333

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charlene Tong, DDSNPI 1689192072

Title

Dentist

Phone

(949) 859-8599

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlene Tong, DDS

  • General Practice Dentistry
  • Foothill Ranch, CA
  • NPI 1689192072
  NPD Authorized official
• Tse Fai Yuen, D.M.D.

  • General Practice Dentistry
  • Foothill Ranch, CA
  • NPI 1659580736
  NPD
• Michael A Yu, D.D.S.

  • General Practice Dentistry
  • Desert Hot Springs, CA
  • NPI 1225113921
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679702400000",
    "number": "1508085648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26730 TOWNE CENTRE DR STE 101",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102857",
            "telephone_number": "949-859-8599",
            "fax_number": "949-859-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26730 TOWNE CENTRE DR STE 101",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102857",
            "telephone_number": "949-859-8599",
            "fax_number": "949-859-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28715 Los Alisos Blvd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926924986",
            "country_code": "US",
            "telephone_number": "949-859-8599",
            "fax_number": "949-859-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSION VIEJO DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-859-8599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33186",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659580736",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689192072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mauricio Cardenas DDS Inc
• Moira Claire Miller, P.T.
• Drew Warner Milner, PT DPT
• Shermineh Mirghaffari
• Mission Pediatric Therapy Inc.
• Marjan Monfared, MD
• Ali Mor, M.D.
• Mt Pages LLC
• Kelly Muller, DPT
• Judith Louise Mundt, OTR-L

• General Practice Dentistry in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; 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.