Gregory Clibon, DDS Apc Heritage Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44580 Issued in CA

Legal business name

GREGORY CLIBON, DDS APC HERITAGE FAMILY DENTAL

Practice address

14150 Culver Dr Ste 300
Irvine, CA 92604-0323

Phone

(949) 552-4226

Fax

(949) 552-0265

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory David Clibon, DDSNPI 1982625141

Title

President

Phone

(949) 633-2635

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gregory David Clibon, DDS

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1982625141
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891717591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25652 LA CIMA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774524",
            "telephone_number": "949-633-2635",
            "fax_number": "949-429-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 CULVER DR STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040323",
            "telephone_number": "949-552-4226",
            "fax_number": "949-552-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY CLIBON, DDS APC HERITAGE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLIBON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-633-2635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiefer Greenspan
• Greenway Med Aesthetics
• Mareen Greenway, M.D
• Barbara Greenwell, APRN
• Gregory a. Cherney, D.C. Professional Chiropractic Corporation
• Gregory K. Saito
• Gregory P Johnson DDS Ms Inc
• Gregory T Whitman MD Inc
• Amanda Greiwe, LMFT
• Sungat Grewal, MD

• General Practice Dentistry in Irvine, CA
• Providers in Irvine, 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 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.