Active NPI
Spencer J Tasker DMD Inc
- Pediatric Dentistry
- Irvine, CA
National Provider Identifier
1699429126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SPENCER J TASKER DMD INC
- Practice address
- 4840 Irvine Blvd Ste 106
Irvine, CA 92620-1962 - Phone
- (949) 885-9300
- NPI assigned
- Feb 3, 2022
- 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
- Jen Saso
- Title
- Director of Operations
- Phone
- (916) 479-3432
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
4840 Irvine Blvd Ste 106
Irvine, CA 92620-1962
Mailing address
4840 Irvine Blvd Ste 106
Irvine, CA 92620-1962
Phone (949) 885-9300
Other names 1
- Little Smiles of OC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643846400000",
"number": "1699429126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4840 IRVINE BLVD STE 106",
"city": "IRVINE",
"state": "CA",
"postal_code": "926201962",
"telephone_number": "949-885-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 IRVINE BLVD STE 106",
"city": "IRVINE",
"state": "CA",
"postal_code": "926201962",
"telephone_number": "949-885-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPENCER J TASKER DMD INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A",
"authorized_official_last_name": "SASO",
"authorized_official_first_name": "JEN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "916-479-3432"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Little Smiles of OC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.