Active NPI
Dana M Roberts DDS Inc
- General Practice Dentistry
- Lake Forest, CA
National Provider Identifier
1619189586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46424
- Legal business name
- DANA M ROBERTS DDS INC
- Practice address
- 26700 Towne Centre Drive
Suite 240
Lake Forest, CA 92610 - Phone
- (949) 581-5151
- NPI assigned
- May 4, 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. Dana Roberts, D.D.S.
- Title
- President
- Phone
- (949) 581-5151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46424 | CA | Primary |
Addresses
Primary practice location
26700 Towne Centre Drive
Suite 240
Lake Forest, CA 92610
Mailing address
3 Goldenfield
Aliso Viejo, CA 92656
Phone (949) 425-9075
National Provider Directory
National Provider DirectoryLocations
26700 Towne Centre Dr
Ste 240
Lake Forest, CA 92610
Phone (949) 581-5151
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Foothill Ranch, CA
- NPI 1619423027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224547200000",
"number": "1619189586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 GOLDENFIELD",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "92656",
"telephone_number": "949-425-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26700 TOWNE CENTRE DRIVE",
"address_2": "SUITE 240",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "92610",
"telephone_number": "949-581-5151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANA M ROBERTS DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2008-10-21",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-581-5151",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.