NPIMap

Organization Active NPI

Mercer and Pham Dental Corporation

Doing business as Crossing Dental Group and Orthodontics

  • General Practice Dentistry
  • Perris, CA
National Provider Identifier
1528249281
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MERCER AND PHAM DENTAL CORPORATION
Doing business as
Crossing Dental Group and Orthodontics
Practice address
3150 Case Road
Building C
Perris, CA 92570
Phone
(951) 345-4386
NPI assigned
Nov 21, 2007
Last updated
Nov 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Dr. Justin Mercer, DDSNPI 1477866366
Title
Owner Doctor
Phone
(951) 345-4386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3150 Case Road
Building C
Perris, CA 92570

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Crossing Dental Group and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

3150 Case Rd
Bldg C
Perris, CA 92570
Phone (419) 383-3504

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1528249281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CASE ROAD",
            "address_2": "BUILDING C",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "92570",
            "telephone_number": "951-345-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER AND PHAM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "951-345-4386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossing Dental Group and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.