Active NPI
Brandan Althof, D.D.S.
- Dentist
- Laguna Niguel, CA
National Provider Identifier
1558747816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64932
- Practice address
- 30131 Town Center Dr
Laguna Niguel, CA 92677-2034 - Phone
- (949) 249-3473
- Fax
- (949) 249-3494
- NPI assigned
- Aug 9, 2015
- Last updated
- Aug 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 64932 | CA | Primary |
Addresses
Primary practice location
30131 Town Center Dr
Laguna Niguel, CA 92677-2034
Mailing address
23448 Sandstone
Mission Viejo, CA 92692-1883
Phone (949) 292-6391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64932 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439078400000",
"number": "1558747816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23448 SANDSTONE",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926921883",
"telephone_number": "949-292-6391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30131 TOWN CENTER DR",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926772034",
"telephone_number": "949-249-3473",
"fax_number": "949-249-3494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTHOF",
"first_name": "BRANDAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-09",
"last_updated": "2015-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.