NPIMap

Organization Active NPI

Pinales DDS Dental Corp

  • General Practice Dentistry
  • Fullerton, CA
National Provider Identifier
1760169783
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PINALES DDS DENTAL CORP
Practice address
301 N Euclid St
Fullerton, CA 92832-1622
Phone
(714) 871-8475
NPI assigned
Jun 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Santo G Pinales, DDSNPI 1356749840
Title
Owner
Phone
(949) 438-9493

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

301 N Euclid St
Fullerton, CA 92832-1622

Mailing address

301 N Euclid St
Fullerton, CA 92832-1622
Phone (714) 871-8475

Other names 1

  • Pinales DDS Dental corp Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Pinales DDS Dental Corp5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1760169783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321622",
            "telephone_number": "714-871-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321622",
            "telephone_number": "714-871-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINALES DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "PINALES",
        "authorized_official_first_name": "SANTO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-438-9493",
        "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": [
        {
            "organization_name": "Pinales DDS Dental corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.