Organization Active NPI

Nancy McHale,DDS and Paula Wilson, DDS

  • General Practice Dentistry
  • Lake Forest, CA
National Provider Identifier
1861511941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29970 Issued in CA
Legal business name
NANCY MCHALE,DDS AND PAULA WILSON, DDS
Practice address
24401 Muirlands Blvd Ste D
Lake Forest, CA 92630-3950
Phone
(949) 586-6114
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nancy Ellen McHale, D.D.S.
Title
Owner
Phone
(949) 586-6114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 29970 CA Primary

Addresses

Primary practice location

24401 Muirlands Blvd Ste D
Lake Forest, CA 92630-3950

Mailing address

24401 Muirlands Blvd Ste D
Lake Forest, CA 92630-3950
Phone (949) 586-6114

National Provider Directory

National Provider Directory

Locations

24401 Muirlands Blvd
Ste D
Lake Forest, CA 92630
Phone (714) 586-6114

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861511941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 MUIRLANDS BLVD STE D",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303950",
            "telephone_number": "949-586-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 MUIRLANDS BLVD STE D",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303950",
            "telephone_number": "949-586-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY MCHALE,DDS AND PAULA WILSON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCHALE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-586-6114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.