Organization Active NPI

Renu Michelsen Dental Corporation

  • General Practice Dentistry
  • Orange, CA
National Provider Identifier
1821844838
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RENU MICHELSEN DENTAL CORPORATION
Practice address
172 N Tustin St Ste 104
Orange, CA 92867-7780
Phone
(714) 538-1178
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Dr. Renu Michelsen, DDSNPI 1952451346
Title
Dentist
Phone
(714) 914-1851

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

172 N Tustin St Ste 104
Orange, CA 92867-7780

Mailing address

172 N Tustin St Ste 104
Orange, CA 92867-7780
Phone (714) 538-1178

Other names 1

  • Michelsen Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1821844838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 N TUSTIN ST STE 104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677780",
            "telephone_number": "714-538-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 N TUSTIN ST STE 104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677780",
            "telephone_number": "714-538-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU MICHELSEN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "MICHELSEN",
        "authorized_official_first_name": "RENU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-914-1851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelsen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.