Organization Active NPI

Cummings, Balasanian, Caputo & Nicholls Dental Group, Inc.

Doing business as Orange County Centers for Oral Surgery & Dental Implants

  • Oral and Maxillofacial Surgery (Dentist)
  • Mission Viejo, CA
National Provider Identifier
1700962347
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP, INC.
Doing business as
Orange County Centers for Oral Surgery & Dental Implants
Practice address
26302 La Paz Rd
Suite 102
Mission Viejo, CA 92691-5313
Phone
(949) 596-7000
Fax
(949) 586-0158
NPI assigned
Oct 27, 2006
Last updated
May 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Authorized official

Name
Dr. David Raymond Cummings, D.D.S.NPI 1609846542
Title
Owner
Phone
(949) 760-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

26302 La Paz Rd
Suite 102
Mission Viejo, CA 92691-5313

Mailing address

26302 La Paz Rd
Suite 102
Mission Viejo, CA 92691-5313
Phone (949) 596-7000

Other names 2

  • Orange County Centers for Oral Surgery & Dental Implants Doing business as
  • Moody, Cummings, Balasanian & Caputo, DDS, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

1171 Puerta del Sol
Ste D
San Clemente, CA 92673
Phone (949) 661-0166

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1700962347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD",
            "address_2": "SUITE 102",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915313",
            "telephone_number": "949-596-7000",
            "fax_number": "949-586-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD",
            "address_2": "SUITE 102",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915313",
            "telephone_number": "949-596-7000",
            "fax_number": "949-586-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-760-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange County Centers for Oral Surgery & Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moody, Cummings, Balasanian & Caputo, DDS, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Moody, Cummings, Balasanian & Caputo, DDS, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.