NPIMap

Organization Active NPI

David M. Diaz, DDS

  • Dentist
  • Costa Mesa, CA
National Provider Identifier
1639370737
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30642 Issued in CA
Legal business name
DAVID M. DIAZ, DDS
Practice address
1801 Newport Blvd Ste B
Costa Mesa, CA 92627-2701
Phone
(949) 548-5588
Fax
(949) 548-5731
NPI assigned
May 29, 2007
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Ms. Teresa D. Battista
Title
Manager
Phone
(949) 548-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30642 CA Primary

Addresses

Primary practice location

1801 Newport Blvd Ste B
Costa Mesa, CA 92627-2701

Mailing address

1801 Newport Blvd
Suite B
Costa Mesa, CA 92627-2701
Phone (949) 548-5588

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherCASOCIAL SECURITY NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1639370737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NEWPORT BLVD",
            "address_2": "SUITE B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272701",
            "telephone_number": "949-548-5588",
            "fax_number": "949-548-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NEWPORT BLVD STE B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272701",
            "telephone_number": "949-548-5588",
            "fax_number": "949-548-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. DIAZ, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "BATTISTA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-548-5588",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.