NPIMap

Organization Active NPI

Reagan Dental Corporation

Doing business as Rancho Dental Group

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
National Provider Identifier
1578660759
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
REAGAN DENTAL CORPORATION
Doing business as
Rancho Dental Group
Practice address
30592 Santa Margarita Pkwy
Ste. D
Rancho Santa Margarita, CA 92688-5802
Phone
(949) 766-5740
Fax
(949) 766-6506
NPI assigned
Sep 20, 2006
Last updated
Jun 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Darin S Reagan, DDSNPI 1437162492
Title
Owner DDS
Phone
(909) 766-5740

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 DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

30592 Santa Margarita Pkwy
Ste. D
Rancho Santa Margarita, CA 92688-5802

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

Other names 1

  • RANCHO DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

30592 Santa Margarita Pkwy
Ste D
Rancho Santa Margarita, CA 92688
Phone (949) 766-5740

Practitioners & affiliated clinicians

Practitioners 6

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1578660759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30592 SANTA MARGARITA PKWY",
            "address_2": "STE. D",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885802",
            "telephone_number": "949-766-5740",
            "fax_number": "949-766-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAGAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "909-766-5740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANCHO DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.