Nicholas J Shubin DDS Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NICHOLAS J SHUBIN DDS INC

Practice address

27184 Ortega Hwy
Suite 208
San Juan Capistrano, CA 92675-5705

Phone

(949) 661-2015

NPI assigned

Jan 13, 2016

Last updated

Jan 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas J Shubin, DDS

Title

President

Phone

(949) 661-2015

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1689030116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27184 ORTEGA HWY",
            "address_2": "SUITE 208",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926755705",
            "telephone_number": "949-661-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27184 ORTEGA HWY",
            "address_2": "SUITE 208",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926755705",
            "telephone_number": "949-661-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS J SHUBIN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "SHUBIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-661-2015",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.