Individual provider Active NPI

Dylan Fernandez, DMD

  • Dentist
  • Mission Viejo, CA
National Provider Identifier
1740971381
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
109123 Issued in CA
Practice address
26137 La Paz Rd Ste 270
Mission Viejo, CA 92691-5333
Phone
(949) 581-1900
NPI assigned
May 16, 2023
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 109123 CA Primary

Addresses

Primary practice location

26137 La Paz Rd Ste 270
Mission Viejo, CA 92691-5333

Mailing address

21451 Birdhollow Dr
Trabuco Canyon, CA 92679-3359
Phone (949) 302-3726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024004210 CA Order and Referring Only - DentistPractitioner - Dentist 7214383439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109123CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dylan E. Fernandez DMD, Inc. CurrentSince Sep 21, 2025 Accepting new patients
Melanie F. Fernandez DDS, Inc. CurrentSince Nov 30, 2025 Accepting new patients
Yen and Dimitri Dental Corporation Dentist PastSince May 1, 2023 Accepting new patients

Locations

26137 La Paz Rd
Ste 270
Mission Viejo, CA 92691
Phone (949) 226-7222

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1740971381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21451 BIRDHOLLOW DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793359",
            "telephone_number": "949-302-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26137 LA PAZ RD STE 270",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915333",
            "telephone_number": "949-581-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "DYLAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.