Active NPI
Leticia Camacho DDS Inc,
- Dentist
- Santa Ana, CA
National Provider Identifier
1851536361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55738
- Legal business name
- LETICIA CAMACHO DDS INC,
- Practice address
- 516 W 17TH St Ste a
Santa Ana, CA 92706-3677 - Phone
- (714) 972-2506
- Fax
- (714) 972-2507
- NPI assigned
- Dec 12, 2008
- 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
- Leticia Camacho
- Title
- President
- Phone
- (714) 972-2506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 55738 | CA | Primary |
Addresses
Primary practice location
516 W 17TH St Ste a
Santa Ana, CA 92706-3677
Mailing address
516 W 17TH St Ste a
Santa Ana, CA 92706-3677
Phone (714) 972-2506
National Provider Directory
National Provider Directory- Tax ID family
- Family Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Costa Mesa, CA
- NPI 1871858688
Locations
516 W 17th St
Ste A
Santa Ana, CA 92706
Phone (714) 972-2506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229040000000",
"number": "1851536361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 W 17TH ST STE A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063677",
"telephone_number": "714-972-2506",
"fax_number": "714-972-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 W 17TH ST STE A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063677",
"telephone_number": "714-972-2506",
"fax_number": "714-972-2507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LETICIA CAMACHO DDS INC,",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-12",
"last_updated": "2008-12-12",
"status": "A",
"authorized_official_last_name": "CAMACHO",
"authorized_official_first_name": "LETICIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-972-2506"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "55738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.