Oksana Bublik DDS,a Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OKSANA BUBLIK DDS,A DENTAL CORPORATION

Practice address

26893 Calle Hermosa
Dana Point, CA 92624-1635

Phone

(949) 503-3430

Fax

(949) 503-3431

NPI assigned

Dec 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Oksana V Bublik, DDSNPI 1639131865

Title

President

Phone

(949) 503-3430

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oksana V Bublik, DDS

  • General Practice Dentistry
  • Dana Point, CA
  • NPI 1639131865
  NPD Authorized official
• Theresa Hoang Nguyen, DMD

  • Dentist
  • Mission Viejo, CA
  • NPI 1447869086
  NPD (past)

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1891193140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26893 CALLE HERMOSA STE 2",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926241635",
            "telephone_number": "949-503-3430",
            "fax_number": "949-380-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26893 CALLE HERMOSA",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926241635",
            "telephone_number": "949-503-3430",
            "fax_number": "949-503-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKSANA BUBLIK DDS,A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "BUBLIK",
        "authorized_official_first_name": "OKSANA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-503-3430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE1",
            "identifier": "1639131865",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891193140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.