Organization Active NPI

A Mirai Dental Corporation

  • Dental Clinic/Center
  • Anaheim Hills, CA
National Provider Identifier
1831996461
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
A MIRAI DENTAL CORPORATION
Doing business as
Anaheim Hills Dentistry
Practice address
140 S Fairmont Blvd
Anaheim Hills, CA 92808-1336
Phone
(714) 974-0054
NPI assigned
Mar 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Sonia Vargas
Title
Office Manager
Phone
(714) 974-0054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

140 S Fairmont Blvd
Anaheim Hills, CA 92808-1336

Mailing address

140 S Fairmont Blvd
Anaheim Hills, CA 92808-1336
Phone (714) 974-0054

Other names 1

  • Anaheim Hills Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1831996461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S FAIRMONT BLVD",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928081336",
            "telephone_number": "714-974-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S FAIRMONT BLVD",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928081336",
            "telephone_number": "714-974-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MIRAI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-01",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-974-0054"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim Hills Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.