Michael J. Gahagan, D.D.S., a Professional Corporation

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

26400 Issued in CA

Legal business name

MICHAEL J. GAHAGAN, D.D.S., A PROFESSIONAL CORPORATION

Practice address

1441 Avocado Ave
Suite 605
Newport Beach, CA 92660-7721

Phone

(949) 640-6683

Fax

(949) 640-0492

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Gahagan, D.D.S.

Title

Dentist

Phone

(949) 640-6683

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790995660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "address_2": "SUITE 605",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721",
            "telephone_number": "949-640-6683",
            "fax_number": "949-640-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "address_2": "SUITE 605",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721",
            "telephone_number": "949-640-6683",
            "fax_number": "949-640-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. GAHAGAN, D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAHAGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-640-6683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "26400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.