NPIMap

Organization Active NPI

North Orange County Dental Specialty Center

  • Endodontics
  • La Habra, CA
National Provider Identifier
1619468832
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
52741 Issued in CA
Legal business name
NORTH ORANGE COUNTY DENTAL SPECIALTY CENTER
Practice address
1480 S Harbor Blvd Ste 5
La Habra, CA 90631-7564
Phone
(714) 870-5200
NPI assigned
May 23, 2018
Last updated
May 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Mrs. Sherlene Ting
Title
Administrator
Phone
(626) 375-0656

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 52741 CA Primary
Oral and Maxillofacial Pathology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0106X 50018 CA
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 51138 CA

Addresses

Primary practice location

1480 S Harbor Blvd Ste 5
La Habra, CA 90631-7564

Mailing address

1245 W Huntington Dr Ste 103
Arcadia, CA 91007-6384
Phone (626) 375-0656

National Provider Directory

National Provider Directory

Locations

1245 W Huntington Dr
Ste 200
Arcadia, CA 91007
Phone (626) 795-5978

1480 S Harbor Blvd
Ste 5
La Habra, CA 90631
Phone (714) 870-5200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1619468832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 W HUNTINGTON DR STE 103",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076384",
            "telephone_number": "626-375-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD STE 5",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317564",
            "telephone_number": "714-870-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ORANGE COUNTY DENTAL SPECIALTY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "TING",
        "authorized_official_first_name": "SHERLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-375-0656",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "52741",
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "50018",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "51138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.