Organization Active NPI

Mar Dental Corporation

  • Public Health Dentistry
  • Huntington Beach, CA
National Provider Identifier
1659245819
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
MAR DENTAL CORPORATION
Practice address
17055 Newland St
Huntington Beach, CA 92647-6037
Phone
(714) 867-7788
NPI assigned
Oct 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Bryan Quito Cauley
Title
Office Manager
Phone
(626) 601-8038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

17055 Newland St
Huntington Beach, CA 92647-6037

Mailing address

17055 Newland St
Huntington Beach, CA 92647-6037
Phone (714) 867-7788

National Provider Directory

National Provider Directory

Locations

17055 Newland St
Huntington Beach, CA 92647
Phone (714) 867-7788

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1659245819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17055 NEWLAND ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476037",
            "telephone_number": "714-867-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17055 NEWLAND ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476037",
            "telephone_number": "714-867-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAR DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "CAULEY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "QUITO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-601-8038"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.