Active NPI
Jonathan H Ford DDS Inc
- Dentist
- Huntington Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- JONATHAN H FORD DDS INC
- Practice address
- 5355 Warner Ave Ste 101
Huntington Beach, CA 92649-6040 - Phone
- (714) 409-6161
- Fax
- (714) 841-7148
- NPI assigned
- Jun 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Ford, DMD
- Title
- Owner
- Phone
- (714) 842-7431
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
5355 Warner Ave Ste 101
Huntington Beach, CA 92649-6040
Mailing address
5355 Warner Ave Ste 101
Huntington Beach, CA 92649-6040
Phone (714) 409-6161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210713003244 | CA | DME Supplier - Oral Surgery - Dentist | 0143622118 | Practice locations: Huntington Beach, CA |
National Provider Directory
National Provider DirectoryLocations
5355 Warner Ave
Ste 101
Huntington Beach, CA 92649
Phone (714) 409-6161
16511 Goldenwest St
Ste 107
Huntington Beach, CA 92647
Phone (714) 842-7431
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Huntington Beach, CA
- NPI 1649479569
-
- Dentist
- Huntington Beach, CA
- NPI 1861423733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1811564909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5355 WARNER AVE STE 101",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926496040",
"telephone_number": "714-409-6161",
"fax_number": "714-841-7148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5355 WARNER AVE STE 101",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926496040",
"telephone_number": "714-409-6161",
"fax_number": "714-841-7148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN H FORD DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-07",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-842-7431",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.