Orly Taitz, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

37934 Issued in CA

Legal business name

ORLY TAITZ, INC

Practice address

29839 Santa Margarita Pkwy Ste 100
Rancho Santa Margarita, CA 92688-3616

Phone

(949) 766-7687

Fax

(949) 766-7603

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Orly Taitz, DDSNPI 1902095813

Title

President of Corp.

Phone

(949) 683-5411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Orly Taitz

  • Dentist
  • Mission Viejo, CA
  • NPI 1902095813
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699298414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29839 SANTA MARGARITA",
            "address_2": "STE 100",
            "city": "RANCO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "92688",
            "telephone_number": "949-766-7687",
            "fax_number": "949-766-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29839 SANTA MARGARITA PKWY STE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883616",
            "telephone_number": "949-766-7687",
            "fax_number": "949-766-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLY TAITZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TAITZ",
        "authorized_official_first_name": "ORLY",
        "authorized_official_title_or_position": "PRESIDENT OF CORP.",
        "authorized_official_telephone_number": "949-683-5411",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orest Frangopol, DDS, Inc. (Dental Arts Center of Rancho Santa Margarita)
• Matthew Kurt Ortiz, MPT, CSCS
• Catherine Moreno Ostowari, M.A.,LMFT
• Gene J Pak, DDS
• Rena Alexa Palmer, PA-C
• Pan Patel (MedsRx Pharmacy)

• Dentist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.