Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55738 Issued in CA

Legal business name

FAMILY DENTAL

Practice address

700 W 19TH St
Suite C
Costa Mesa, CA 92627-3517

Phone

(714) 722-9027

Fax

(714) 722-9028

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Leticia Camacho, D.D.S.

Title

Presidenr

Phone

(714) 972-2506

Specialties & licenses 2

Addresses

Tax ID family

Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Leticia Camacho DDS Inc,

  • Dentist
  • Santa Ana, CA
  • NPI 1851536361
  NPD tax ID

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1871858688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W 17TH ST",
            "address_2": "SUITE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063677",
            "telephone_number": "714-972-2606",
            "fax_number": "714-972-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 19TH ST",
            "address_2": "SUITE C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273517",
            "telephone_number": "714-722-9027",
            "fax_number": "714-722-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "PRESIDENR",
        "authorized_official_telephone_number": "714-972-2506",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55738",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "55738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rowenda Facundo
• Patrick Faga
• Charles Fagenholz, DC
• La Keisha Fairbee
• Karla Daniela Fajardo Vazquez
• Family First Icare, Inc. (Pearle Vision)
• Natalie Ting-Chia Fan
• Fanai Chiropractic & Wellness
• Farand Kusnadi Chiropractic Inc
• Mohammad Fardghassemi

• General Practice Dentistry in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.