NPIMap

Organization Active NPI

E. John Moreno DMD., a Dental Corporation

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1649534959
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D29929 Issued in CA
Legal business name
E. JOHN MORENO DMD., A DENTAL CORPORATION
Practice address
6 Hughes Ste 100
Irvine, CA 92618-2060
Phone
(949) 487-9220
NPI assigned
Jul 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Dr. Efraim John Moreno, DMDNPI 1982810305
Title
Owner
Phone
(949) 487-9220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D29929 CA Primary

Addresses

Primary practice location

6 Hughes Ste 100
Irvine, CA 92618-2060

Mailing address

6 Hughes Ste 100
Irvine, CA 92618-2060
Phone (949) 487-9220

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1649534959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUGHES STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182060",
            "telephone_number": "949-487-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HUGHES STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182060",
            "telephone_number": "949-487-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. JOHN MORENO DMD., A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "EFRAIM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-487-9220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D29929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.