Organization Active NPI

Jonathan H Ford DDS Inc

  • Dentist
  • Huntington Beach, CA
National Provider Identifier
1811564909
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Jonathan Ford, DMDNPI 1649479569
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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20210713003244 CA DME Supplier - Oral Surgery - Dentist 0143622118 Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.