Active NPI
Community Dental Services
Doing business as SmileCare Dental Group
- Dentist
- Lake Forest, CA
National Provider Identifier
1871664748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- COMMUNITY DENTAL SERVICES
- Doing business as
- SmileCare Dental Group
- Practice address
- 23622 Rockfield Blvd
Lake Forest, CA 92630-1600 - Phone
- (949) 837-2766
- Fax
- (949) 580-0765
- NPI assigned
- Nov 13, 2006
- Last updated
- Aug 22, 2020
- 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
- Mrs. Elaine Salcido
- Title
- Contract Supervisor
- Phone
- (714) 708-5308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
23622 Rockfield Blvd
Lake Forest, CA 92630-1600
Mailing address
2 Macarthur PL
Suite 700
Santa Ana, CA 92707-5924
Phone (714) 708-5308
Other names 1
- SmileCare Dental Group
National Provider Directory
National Provider Directory- Tax ID family
- Community Dental Services
Organizations with this tax ID in the same state 16
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
23622 Rockfield Blvd
Lake Forest, CA 92630
Phone (949) 837-2766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871664748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MACARTHUR PL",
"address_2": "SUITE 700",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927075924",
"telephone_number": "714-708-5308",
"fax_number": "714-708-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23622 ROCKFIELD BLVD",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301600",
"telephone_number": "949-837-2766",
"fax_number": "949-580-0765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY DENTAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SALCIDO",
"authorized_official_first_name": "ELAINE",
"authorized_official_title_or_position": "CONTRACT SUPERVISOR",
"authorized_official_telephone_number": "714-708-5308",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SmileCare Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}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.