Jorge Vital DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

49701 Issued in CA

Legal business name

JORGE VITAL DDS INC

Practice address

102 E 4TH St FL 2
Santa Ana, CA 92701-4602

Phone

(714) 558-1464

Fax

(714) 558-2971

NPI assigned

Apr 9, 2015

Organization subpart

No

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

Authorized official

Name

Jorge Enrique VitalNPI 1619060118

Title

Owner

Phone

(714) 558-1464

Specialties & licenses 1

Addresses

Other names 1

• Dental 4 Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge E Vital, DDS

  • Dentist
  • Santa Ana, CA
  • NPI 1619060118
  NPD (past) Authorized official

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1669868253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E 4TH ST FL 2",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014602",
            "telephone_number": "714-558-1464",
            "fax_number": "714-558-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E 4TH ST FL 2",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014602",
            "telephone_number": "714-558-1464",
            "fax_number": "714-558-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE VITAL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "VITAL",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-558-1464"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental 4",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Jones
• Nisa Joorabchi
• Yolandi Jooste
• Jane Jordan, MFT
• Jorge R Lopez MD a Professional Medical Corporation
• Jose E Aguilar M D a Medical Corporation
• Jose E Aguilar MD a Medical Corporation
• Jose L Valdez MD Inc
• Jose Luis Osoria D.D.S.
• Marie-Marie Renee George Jose

• Dentist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.