NPIMap

Organization Active NPI

Richard a Mandel, DDS Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Santa Ana, CA
National Provider Identifier
1720091630
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
21384 Issued in CA
Legal business name
RICHARD A MANDEL, DDS INC
Practice address
801 N Tustin Ave Suite 705
Santa Ana, CA 92705
Phone
(714) 835-8873
Fax
(714) 835-0402
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Richard A Mandel, DDSNPI 1851634869
Title
Owner
Phone
(714) 835-8873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X 21384 CA Primary

Addresses

Primary practice location

801 N Tustin Ave Suite 705
Santa Ana, CA 92705

Mailing address

801 N Tustin Ave Suite 705
Santa Ana, CA 92705
Phone (714) 835-8873

National Provider Directory

National Provider Directory

Locations

801 N Tustin Ave
Ste 705
Santa Ana, CA 92705
Phone (714) 835-8873

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1720091630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE SUITE 705",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-835-8873",
            "fax_number": "714-835-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE SUITE 705",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-835-8873",
            "fax_number": "714-835-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A MANDEL, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-835-8873",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "21384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.