Zenith Smiles Series 1, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ZENITH SMILES SERIES 1, LLC

Practice address

1101 Bryan Ave
Ste D
Tustin, CA 92780

Phone

(714) 838-0790

Fax

(714) 838-5315

NPI assigned

Jan 3, 2024

Organization subpart

No

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

Authorized official

Name

Nam Phan, DDS

Title

Dentist

Phone

(714) 838-0790

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1730959644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BRYAN AVE",
            "address_2": "STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-838-0790",
            "fax_number": "714-838-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BRYAN AVE",
            "address_2": "STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-838-0790",
            "fax_number": "714-838-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENITH SMILES SERIES 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "NAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-838-0790",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Zarza
• Michelangelo Zavala
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• Zee Med Management Inc
• Shelley Zeigler, L.M.F.T.
• Zenith Speech Therapy Inc
• Suzanne Marie Zetz, MFT
• Zeus Diagnostics Medical Group Inc
• Ellen Caoyuan Zhang
• Hanrui Zhang

• General Practice Dentistry in Tustin, CA
• Providers in Tustin, 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 Jan 3, 2024; 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.