Gregory Clibon, DDS - Beach Cities Dental Group, Apc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44580 Issued in CA

Legal business name

GREGORY CLIBON, DDS - BEACH CITIES DENTAL GROUP, APC

Practice address

675 Camino de Los Mares Ste 304
San Clemente, CA 92673-2837

Phone

(949) 496-5001

Fax

(949) 496-0372

NPI assigned

Jul 22, 2006

Last updated

Dec 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory David Clibon, DDS

Title

President

Phone

(949) 633-2635

Specialties & licenses 1

Addresses

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.

• Liwen Cheng, D.M.D.

  • Dentist
  • San Clemente, CA
  • NPI 1497925747
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1710908876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25652 LA CIMA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774524",
            "telephone_number": "949-633-2635",
            "fax_number": "949-429-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES STE 304",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732837",
            "telephone_number": "949-496-5001",
            "fax_number": "949-496-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY CLIBON, DDS - BEACH CITIES DENTAL GROUP, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "CLIBON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-633-2635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Elliott Green, MD
• Matthew Alan Greene
• Suzanne Greene
• Nicola Greenhalgh
• Tahjaniera A Greenwade, LVN
• Griffin Optometric Group
• Griffin Optometric Group
• Griffin Optometric Talega Inc
• Griffinted P D D Inc
• Jennifer Renee Griffith, LCSW

• General Practice Dentistry in San Clemente, CA
• Providers in San Clemente, 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 Dec 4, 2007; 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.