Nader Botros DDS Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45093 Issued in CA

Legal business name

NADER BOTROS DDS PROFESSIONAL CORPORATION

Practice address

10372 Westminster Ave
Garden Grove, CA 92843-4813

Phone

(714) 530-7220

NPI assigned

Aug 21, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Nader F Botros, DDSNPI 1336257955

Title

President

Phone

(714) 530-7220

Specialties & licenses 1

Addresses

Tax ID family

Gardenwest Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gardenwest Dental

  • Preferred Provider Organization
  • Garden Grove, CA
  • NPI 1841748209
  NPD tax ID

Locations

Practitioners 1

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

• Nader Fawzy Botros, DENTIST

  • Dentist
  • Garden Grove, CA
  • NPI 1336257955
  NPD (past) Authorized official

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1710354055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10372 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434813",
            "telephone_number": "714-530-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10372 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434813",
            "telephone_number": "714-530-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER BOTROS DDS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "BOTROS",
        "authorized_official_first_name": "NADER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-530-7220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Myung, M.D.
• Duk Young Myung, LAC LICENSED ACUPUNC
• Michael Myung
• Ray Hong Myung, D.C.
• Tasneem Nabelsi, DDS
• Dan Nadler, M.D.
• Randy Esteban Naguiat
• Soe Naing, MD
• Mobina Najafalizadehmonfared
• Cindy Alice Nakoud, PT, DPT

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.