Individual provider Active NPI

Marie Antoinette Dyquiangco Orejudos, DMD

  • Dentist
  • Anaheim, CA
National Provider Identifier
1649943986
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
106670 Issued in CA
Practice address
1720 S Euclid St
Anaheim, CA 92802-2429
Phone
(714) 758-1800
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 106670 CA Primary

Addresses

Primary practice location

1720 S Euclid St
Anaheim, CA 92802-2429

Mailing address

610 S Fann PL
Anaheim, CA 92804-2623
Phone (714) 795-9804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marie Antoinette Orejudos DMD Inc. CurrentSince Oct 27, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1649943986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S FANN PL",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042623",
            "telephone_number": "714-795-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022429",
            "telephone_number": "714-758-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREJUDOS",
        "first_name": "MARIE ANTOINETTE",
        "middle_name": "DYQUIANGCO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.