Active NPI
Andrew S. Kiss, DDS, MD, Inc.
- Oral and Maxillofacial Surgery (Dentist)
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- ANDREW S. KISS, DDS, MD, INC.
- Practice address
- 18102 Irvine Blvd Ste 201
Tustin, CA 92780-3424 - Phone
- (714) 767-6971
- NPI assigned
- Jun 27, 2022
- 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
- Andrw Kiss, DDS, MD
- Title
- President
- Phone
- (714) 767-6971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
18102 Irvine Blvd Ste 201
Tustin, CA 92780-3424
Mailing address
7886 Orchid Dr
Huntington Beach, CA 92648-5682
Other practice location 1
25460 Medical Center Dr Ste 201
Murrieta, CA 92562-5985
Phone (951) 698-4681
Other practice location 2
265 San Jacinto River Rd Ste 101
Lake Elsinore, CA 92530-4400
Phone (951) 471-3334
Other practice location 3
12009 Garfield Ave
South Gate, CA 90280-7822
Phone (562) 630-7777
National Provider Directory
National Provider DirectoryLocations
265 San Jacinto River Rd
Ste 101
Lake Elsinore, CA 92530
Phone (951) 471-3334
25460 Medical Center Dr
Ste 201
Murrieta, CA 92562
Phone (951) 698-4681
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Tustin, CA
- NPI 1174922025
-
- Oral and Maxillofacial Pathology Dentistry
- Lake Elsinore, CA
- NPI 1659461721
-
- Dentist
- Los Angeles, CA
- NPI 1881971422
-
- Oral and Maxillofacial Surgery (Dentist)
- Murrieta, CA
- NPI 1326184169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656288000000",
"number": "1629700711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7886 ORCHID DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926485682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18102 IRVINE BLVD STE 201",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803424",
"telephone_number": "714-767-6971"
}
],
"practiceLocations": [
{
"address_1": "25460 Medical Center Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Murrieta",
"state": "CA",
"postal_code": "925625985",
"country_code": "US",
"telephone_number": "951-698-4681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "265 San Jacinto River Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Lake Elsinore",
"state": "CA",
"postal_code": "925304400",
"country_code": "US",
"telephone_number": "951-471-3334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12009 Garfield Ave",
"address_purpose": "LOCATION",
"city": "South Gate",
"state": "CA",
"postal_code": "902807822",
"country_code": "US",
"telephone_number": "562-630-7777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ANDREW S. KISS, DDS, MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-27",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A",
"authorized_official_last_name": "KISS",
"authorized_official_first_name": "ANDRW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-767-6971",
"authorized_official_credential": "DDS, MD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.