NPIMap

Organization Active NPI

Nguyen and Reagan Dental Corporation

Doing business as Pacific Harbor Dental Group and Orthodontics

  • General Practice Dentistry
  • Costa Mesa, CA
National Provider Identifier
1881783637
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NGUYEN AND REAGAN DENTAL CORPORATION
Doing business as
Pacific Harbor Dental Group and Orthodontics
Practice address
3030 Harbor Blvd
Ste. G-1
Costa Mesa, CA 92626-2562
Phone
(714) 546-6100
Fax
(714) 546-6160
NPI assigned
Oct 12, 2006
Last updated
Aug 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Dr. Michael Nguyen, DMD
Title
Owner
Phone
(714) 546-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3030 Harbor Blvd
Ste. G-1
Costa Mesa, CA 92626-2562

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • PACIFIC HARBOR DENTAL GROUP AND ORTHODONTICS Doing business as

National Provider Directory

National Provider Directory

Locations

3030 Harbor Blvd
Ste G1
Costa Mesa, CA 92626
Phone (714) 260-7190

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1881783637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 HARBOR BLVD",
            "address_2": "STE. G-1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262562",
            "telephone_number": "714-546-6100",
            "fax_number": "714-546-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN AND REAGAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-546-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC HARBOR DENTAL GROUP AND ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.