NPIMap

Organization Active NPI

Shirley Santos, DDS Inc

  • General Practice Dentistry
  • Tustin, CA
National Provider Identifier
1851681738
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53944 Issued in CA
Legal business name
SHIRLEY SANTOS, DDS INC
Practice address
17482 Irvine Blvd
Suite B
Tustin, CA 92780-3032
Phone
(714) 367-0222
Fax
(714) 368-0225
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. Shirley Ocampo Santos, DDSNPI 1598975476
Title
President
Phone
(714) 368-0222

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 53944 CA Primary

Addresses

Primary practice location

17482 Irvine Blvd
Suite B
Tustin, CA 92780-3032

Mailing address

17482 Irvine Blvd
Suite B
Tustin, CA 92780-3032
Phone (714) 367-0222

Other names 1

  • Shirley Santos,DMD Inc Other name

National Provider Directory

National Provider Directory

Locations

17482 Irvine Blvd
Ste B
Tustin, CA 92780
Phone (714) 367-0222

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": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1851681738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17482 IRVINE BLVD",
            "address_2": "SUITE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803032",
            "telephone_number": "714-367-0222",
            "fax_number": "714-368-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17482 IRVINE BLVD",
            "address_2": "SUITE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803032",
            "telephone_number": "714-367-0222",
            "fax_number": "714-368-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY SANTOS, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "OCAMPO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-368-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shirley Santos,DMD Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.