Active NPI
Ameridenti LLC
- Oral and Maxillofacial Surgery Clinic/Center
- Tustin, CA
National Provider Identifier
1689279580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Amelia Ramirez Orduna DDS Inc (Tustin Dental)
- Amena Pharmacy Corp (HEALTHCARE PHARMACy)
- Chamith Ameresekere, DC
- American Surgical Medical Supply Inc (American Surgical Medical Supply Tustin)
- Americana Health Facility Inc (Americana Health Center)
- Caterina Irene Amici
- Gita Aminloo, RDHAP
- Amit Lalit Shah DDS Inc (Tustin Smiles dental office of Dr. Shah)
- Amor S del Mundo MD, Inc.
- Amp Sports Med Inc
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.