Organization Active NPI

Michael C McClane DDS a Professional Corporation

  • General Practice Dentistry
  • La Habra, CA
National Provider Identifier
1699198622
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34380 Issued in CA
Legal business name
MICHAEL C MCCLANE DDS A PROFESSIONAL CORPORATION
Practice address
2501 W la Habra Blvd Ste 7
La Habra, CA 90631-4354
Phone
(562) 698-6684
Fax
(562) 905-2604
NPI assigned
Jan 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Michael Calvin McClane, DDSNPI 1497974869
Title
President
Phone
(562) 698-6684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 34380 CA Primary

Addresses

Primary practice location

2501 W la Habra Blvd Ste 7
La Habra, CA 90631-4354

Mailing address

2501 W la Habra Blvd Ste 7
La Habra, CA 90631-4354
Phone (562) 698-6684

National Provider Directory

National Provider Directory

Locations

2501 W La Habra Blvd
Ste 7
La Habra, CA 90631
Phone (562) 698-6684

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1699198622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W LA HABRA BLVD STE 7",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314354",
            "telephone_number": "562-698-6684",
            "fax_number": "562-905-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W LA HABRA BLVD STE 7",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314354",
            "telephone_number": "562-698-6684",
            "fax_number": "562-905-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C MCCLANE DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "MCCLANE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-698-6684",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.