Jorge Oaxaca, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37887 Issued in CA

Practice address

805 Central Ave
Seal Beach, CA 90740-6309

Phone

(562) 596-1621

Fax

(562) 596-1142

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jorge Oaxaca, DDS

  • Dentist
  • Seal Beach, CA
  • NPI 1346777125
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528110384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CENTRAL AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406309",
            "telephone_number": "562-596-1621",
            "fax_number": "562-596-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 CENTRAL AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406309",
            "telephone_number": "562-596-1621",
            "fax_number": "562-596-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAXACA",
        "first_name": "JORGE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "436286",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Nguyen
• Thi Quynh Huong Nguyen
• Tiffany Tram Nguyen
• Nora Oakley, D.C.
• Jonathan Oatis
• Rheamay Odvina
• Howard Ong, D.D.S.
• Kristina Monness Orliczky, P.T.
• Orthopedic Sciences, Inc.
• Franklin Alexander Ortiz, DPT

• General Practice Dentistry in Seal Beach, CA
• Providers in Seal Beach, 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 Jul 8, 2007; 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.