Individual provider Active NPI

Jeffrey Valdez Flores, D.D.S.

  • General Practice Dentistry
  • Mission Viejo, CA
National Provider Identifier
1801026919
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58512 Issued in CA
Practice address
28261 Marguerite Pkwy Ste 150
Mission Viejo, CA 92692-3702
Phone
(949) 682-7378
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58512 CA Primary

Addresses

Primary practice location

28261 Marguerite Pkwy Ste 150
Mission Viejo, CA 92692-3702

Mailing address

28261 Marguerite Parkway
Suite #150
Mission Viejo, CA 92691
Phone (858) 733-2279

Other practice location 1

3943 Irvine Blvd # 415
Irvine, CA 92602-2400
Phone (858) 733-2279

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

LicenseStateTypeSpecialty
58512CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Flores DDS Inc. Current Accepting new patients

Locations

28261 Marguerite Pkwy
Ste 150
Mission Viejo, CA 92692
Phone (949) 682-7378

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1801026919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28261 MARGUERITE PARKWAY",
            "address_2": "SUITE #150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "858-733-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28261 MARGUERITE PKWY STE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923702",
            "telephone_number": "949-682-7378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3943 Irvine Blvd # 415",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926022400",
            "country_code": "US",
            "telephone_number": "858-733-2279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JEFFREY",
        "middle_name": "VALDEZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.