Individual provider Active NPI

Dora Wong Donovan, DMD,MDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Laguna Niguel, CA
National Provider Identifier
1730267758
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
31128 Issued in CA
Practice address
25500 Rancho Niguel Rd Ste 160
Laguna Niguel, CA 92677-7306
Phone
(949) 831-7790
Fax
(949) 831-7035
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 31128 CA Primary

Addresses

Primary practice location

25500 Rancho Niguel Rd Ste 160
Laguna Niguel, CA 92677-7306

Mailing address

25500 Rancho Niguel Rd Ste 160
Laguna Niguel, CA 92677-7306
Phone (949) 831-7790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31128CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bahar Movahed, DDS, Inc. PastSince May 14, 2023 Accepting new patients
Nooshin Majd DMD MSD Inc. Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730267758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD STE 160",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777306",
            "telephone_number": "949-831-7790",
            "fax_number": "949-831-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD STE 160",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777306",
            "telephone_number": "949-831-7790",
            "fax_number": "949-831-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "DORA",
        "middle_name": "WONG",
        "name_prefix": "Dr.",
        "credential": "DMD,MDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "31128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.