Organization Active NPI

Aliso Woods Dental

  • General Practice Dentistry
  • Aliso Viejo, CA
National Provider Identifier
1811098213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALISO WOODS DENTAL
Practice address
27792 Aliso Creek Rd
B-170
Aliso Viejo, CA 92656-3833
Phone
(949) 360-1213
Fax
(949) 360-7266
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carly Gail Brundage
Title
Office Manager
Phone
(949) 360-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

27792 Aliso Creek Rd
B-170
Aliso Viejo, CA 92656-3833

Mailing address

27792 Aliso Creek Rd
B-170
Aliso Viejo, CA 92656-3833
Phone (949) 360-1213

National Provider Directory

National Provider Directory

Locations

27792 Aliso Creek Rd
Ste B170
Aliso Viejo, CA 92656
Phone (949) 360-1213

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811098213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27792 ALISO CREEK RD",
            "address_2": "B-170",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563833",
            "telephone_number": "949-360-1213",
            "fax_number": "949-360-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27792 ALISO CREEK RD",
            "address_2": "B-170",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563833",
            "telephone_number": "949-360-1213",
            "fax_number": "949-360-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISO WOODS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUNDAGE",
        "authorized_official_first_name": "CARLY",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-360-1213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • 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.