Organization Active NPI

Tony DO DDS Inc

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1619168010
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48801 Issued in CA
Legal business name
TONY DO DDS INC
Doing business as
NUSMILE Dental
Practice address
1132 N Brookhurst St Ste B
Anaheim, CA 92801-1791
Phone
(714) 535-0535
Fax
(714) 535-0090
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Dr. Tony D DO, DDS
Title
President
Phone
(949) 439-4389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48801 CA Primary

Addresses

Primary practice location

1132 N Brookhurst St Ste B
Anaheim, CA 92801-1791

Mailing address

1132 N Brookhurst St Ste B
Anaheim, CA 92801-1791
Phone (714) 535-0535

Other identifiers 1

IdentifierTypeStateIssuer
1497800649OtherCADENTICAL NPI-INDIVIDUAL

Other names 1

  • NUSMILE Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1132 N Brookhurst St
Ste B
Anaheim, CA 92801
Phone (714) 535-0535

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1619168010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 N BROOKHURST ST STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011791",
            "telephone_number": "714-535-0535",
            "fax_number": "714-535-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 N BROOKHURST ST STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011791",
            "telephone_number": "714-535-0535",
            "fax_number": "714-535-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY DO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-439-4389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL NPI-INDIVIDUAL",
            "identifier": "1497800649",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NUSMILE Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.