North Tustin Dental Specialty Center Inc

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

NORTH TUSTIN DENTAL SPECIALTY CENTER INC

Practice address

18102 Irvine Blvd Ste 211
Tustin, CA 92780-3414

Phone

(714) 838-2001

NPI assigned

May 31, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Sherlene Ting

Title

Administrator

Phone

(626) 375-0656

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• David A Jiu, D.D.S.

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1538201314
  NPD (past)

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1700626116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 W HUNTINGTON DR STE 103",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076384",
            "telephone_number": "626-898-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD STE 211",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803414",
            "telephone_number": "714-838-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TUSTIN DENTAL SPECIALTY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "TING",
        "authorized_official_first_name": "SHERLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-375-0656",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noble Nest Inc.
• Nicole Rolle Noche, NP
• Noha Nour DDS Inc
• Ma Genevive Nolasco, M.A., BCBA
• Charlotte Nordstrom
• Courtnee Michelle Novales, RN
• Shane Nunan
• Sylvia Nunez Serrano, LMFT
• Lorraine Nunez-Santana, BI
• Gustavo Jr. Nunez

• Endodontics in Tustin, CA
• Providers in Tustin, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.