Organization Active NPI

Alex Eidelstein DDS & Guy Levi DDS, a Dental Corporation

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1780970012
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53240 Issued in CA
Legal business name
ALEX EIDELSTEIN DDS & GUY LEVI DDS, A DENTAL CORPORATION
Practice address
801 N Tustin Ave
Ste 708
Santa Ana, CA 92705-3612
Phone
(714) 285-0500
Fax
(714) 285-0501
NPI assigned
Jun 24, 2011
Last updated
Jun 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Dr. Guy Levi, DDS
Title
President
Phone
(310) 866-1279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 53240 CA Primary

Addresses

Primary practice location

801 N Tustin Ave
Ste 708
Santa Ana, CA 92705-3612

Mailing address

10738 National Blvd
Los Angeles, CA 90064-4234
Phone (310) 425-8855

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1780970012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10738 NATIONAL BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644234",
            "telephone_number": "310-425-8855",
            "fax_number": "818-301-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "STE 708",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053612",
            "telephone_number": "714-285-0500",
            "fax_number": "714-285-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX EIDELSTEIN DDS & GUY LEVI DDS, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-866-1279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.