Organization Active NPI

Mauricio Cardenas DDS Inc

Doing business as MC Cosmetic Dentistry

  • Dentist
  • Foothill Ranch, CA
National Provider Identifier
1679690721
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43326 Issued in CA
Legal business name
MAURICIO CARDENAS DDS INC
Doing business as
MC Cosmetic Dentistry
Practice address
26720 Towne Centre Dr
Suite #B MC Cosmetic Dentistry
Foothill Ranch, CA 92610
Phone
(949) 830-2003
Fax
(949) 830-2017
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mauricio Alberto Cardenas, DDS
Title
Owner President DDS
Phone
(949) 830-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 43326 CA Primary

Addresses

Primary practice location

26720 Towne Centre Dr
Suite #B MC Cosmetic Dentistry
Foothill Ranch, CA 92610

Mailing address

26720 Towne Centre Dr
Suite #B
Foothill Ranch, CA 92610
Phone (949) 830-2003

Other names 1

  • MC Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

26720 Towne Centre Dr
Ste B
Foothill Ranch, CA 92610
Phone (949) 830-2003

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679690721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26720 TOWNE CENTRE DR",
            "address_2": "SUITE #B",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "92610",
            "telephone_number": "949-830-2003",
            "fax_number": "949-830-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26720 TOWNE CENTRE DR",
            "address_2": "SUITE #B MC COSMETIC DENTISTRY",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "92610",
            "telephone_number": "949-830-2003",
            "fax_number": "949-830-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICIO CARDENAS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER PRESIDENT DDS",
        "authorized_official_telephone_number": "949-830-2003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MC Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Foothill Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.