Organization Active NPI

Ameridenti LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Tustin, CA
National Provider Identifier
1689279580
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
AMERIDENTI LLC
Practice address
14451 Chambers Rd Ste 150
Tustin, CA 92780-6972
Phone
(714) 400-0806
Fax
(714) 281-8200
NPI assigned
Dec 1, 2020
Last updated
Dec 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Lianne Swinehart
Title
Ceo
Phone
(714) 485-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X NU Primary

Addresses

Primary practice location

14451 Chambers Rd Ste 150
Tustin, CA 92780-6972

Mailing address

14451 Chambers Rd Ste 150
Tustin, CA 92780-6972
Phone (714) 400-0806

National Provider Directory

National Provider Directory

Locations

14451 Chambers Rd
Ste 150
Tustin, CA 92780
Phone (714) 400-0806

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1689279580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14451 CHAMBERS RD STE 150",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806972",
            "telephone_number": "714-400-0806",
            "fax_number": "714-281-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14451 CHAMBERS RD STE 150",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806972",
            "telephone_number": "714-400-0806",
            "fax_number": "714-281-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIDENTI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "SWINEHART",
        "authorized_official_first_name": "LIANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-485-9999"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

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