Active NPI
Lynne Musulas Devian, DDS
- Dentist
- Orange, CA
National Provider Identifier
1609294669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29636
- Practice address
- 124 S Orange St
Orange, CA 92866-1424 - Phone
- (714) 532-5800
- NPI assigned
- Apr 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 29636 | CA | Primary |
Addresses
Primary practice location
124 S Orange St
Orange, CA 92866-1424
Mailing address
18892 J and J LN
Yorba Linda, CA 92886-2605
Phone (714) 970-1272
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 |
|---|---|---|---|
| 29636 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1609294669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18892 J AND J LN",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928862605",
"telephone_number": "714-970-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S ORANGE ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928661424",
"telephone_number": "714-532-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVIAN",
"first_name": "LYNNE",
"middle_name": "MUSULAS",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-06",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "29636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.