Organization Active NPI

George Georgieff, DDS, Inc.

  • Dental Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1619014172
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D16525 Issued in CA
Legal business name
GEORGE GEORGIEFF, DDS, INC.
Practice address
620 W Edinger Ave
Santa Ana, CA 92707-1602
Phone
(714) 545-0437
Fax
(714) 751-3922
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George Georgieff, DDS
Title
President
Phone
(714) 545-0437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D16525 CA Primary

Addresses

Primary practice location

620 W Edinger Ave
Santa Ana, CA 92707-1602

Mailing address

620 W Edinger Ave
Santa Ana, CA 92707-1602
Phone (714) 545-0437

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619014172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W EDINGER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927071602",
            "telephone_number": "714-545-0437",
            "fax_number": "714-751-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W EDINGER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927071602",
            "telephone_number": "714-545-0437",
            "fax_number": "714-751-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE GEORGIEFF, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGIEFF",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-545-0437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "D16525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • 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.