Individual provider Active NPI

George Naidus, DDS

  • General Practice Dentistry
  • Newport Beach, CA
National Provider Identifier
1609202365
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22259 Issued in CA
Practice address
1401 Avocado Ave Ste 404
Newport Beach, CA 92660-7783
Phone
(949) 640-1122
NPI assigned
Sep 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22259 CA Primary

Addresses

Primary practice location

1401 Avocado Ave Ste 404
Newport Beach, CA 92660-7783

Mailing address

1401 Avocado Ave Ste 404
Newport Beach, CA 92660-7783
Phone (949) 640-1122

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

LicenseStateTypeSpecialty
22259CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Dental Specialties Past Accepting new patients
Newport Center Dental Group General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1609202365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 404",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607783",
            "telephone_number": "949-640-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 404",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607783",
            "telephone_number": "949-640-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDUS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.