Active NPI
Tony DO DDS Inc
- General Practice Dentistry
- Anaheim, CA
National Provider Identifier
1619168010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48801
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497800649 | Other | CA | DENTICAL NPI-INDIVIDUAL |
Other names 1
- NUSMILE Dental
National Provider Directory
National Provider DirectoryLocations
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.