Fowle & Fagin Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

24777 Issued in CA

Legal business name

FOWLE & FAGIN ORTHODONTICS

Practice address

27800 Medical Center Road
Suite 155
Mission Viejo, CA 92691-6442

Phone

(949) 364-0590

Fax

(949) 364-0739

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Douglas Fowle, D.D.S.NPI 1083759369

Title

General Partner

Phone

(949) 364-0590

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Steven Douglas Fowle, D.D.S., INC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mission Viejo,, CA
  • NPI 1083759369
  NPD (past) Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598800864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER ROAD",
            "address_2": "SUITE 155",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916442",
            "telephone_number": "949-364-0590",
            "fax_number": "949-364-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER ROAD",
            "address_2": "SUITE 155",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916442",
            "telephone_number": "949-364-0590",
            "fax_number": "949-364-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLE & FAGIN ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOWLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "949-364-0590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "24777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Steven Douglas Fowle, D.D.S., INC
• Marcy Fox, M.A., CCC-SLP
• Aaron Fraley, DDS
• Barbara Joanne Francis, PSY.D.
• Judith Sara Franco

• Orthodontics and Dentofacial Orthopedics Dentistry in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.