Organization Active NPI

Patricia Tay DDS Inc

  • Dental Clinic/Center
  • San Juan Capistrano, CA
National Provider Identifier
1619419058
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
50831 Issued in CA
Legal business name
PATRICIA TAY DDS INC
Practice address
31920 Del Obispo St Ste 165
San Juan Capistrano, CA 92675-3193
Phone
(949) 558-5517
NPI assigned
Nov 16, 2016
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Dr. Patricia Tay, DDS
Title
Owner
Phone
(949) 558-5517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 50831 CA Primary

Addresses

Primary practice location

31920 Del Obispo St Ste 165
San Juan Capistrano, CA 92675-3193

Mailing address

31920 Del Obispo St Ste 165
San Juan Capistrano, CA 92675-3193
Phone (949) 558-5517

National Provider Directory

National Provider Directory

Locations

31920 Del Obispo St
Ste 165
San Juan Capistrano, CA 92675
Phone (949) 388-8181

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1619419058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31920 DEL OBISPO ST STE 165",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753193",
            "telephone_number": "949-558-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31920 DEL OBISPO ST STE 165",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753193",
            "telephone_number": "949-558-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA TAY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "TAY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-558-5517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "50831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.