Active NPI
Dell Aldrich, D.D.S.-M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tustin, CA
National Provider Identifier
1760666705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 17016
- Practice address
- 12711 Trent Jones LN
Tustin, CA 92782-1128 - Phone
- (714) 389-9416
- NPI assigned
- Dec 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 17016 | CA | Primary |
Addresses
Primary practice location
12711 Trent Jones LN
Tustin, CA 92782-1128
Mailing address
12711 Trent Jones LN
Tustin, CA 92782-1128
Phone (714) 389-9416
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17016 | CA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1760666705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12711 TRENT JONES LN",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821128",
"telephone_number": "714-389-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12711 TRENT JONES LN",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821128",
"telephone_number": "714-389-9416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDRICH",
"first_name": "DELL",
"credential": "D.D.S.-M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "17016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.