NPIMap

Organization Active NPI

J.D. de Lorme, D.D.S., Inc

  • Pediatric Dentistry
  • Mission Viejo, CA
National Provider Identifier
1891790390
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
O-118872-L Issued in CA
Legal business name
J.D. DE LORME, D.D.S., INC
Practice address
26302 La Paz Rd
Ste 114
Mission Viejo, CA 92691-5327
Phone
(949) 581-5800
Fax
(949) 581-6794
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Dr. John Dennis De Lorme Jr., D.D.S.NPI 1003943580
Title
Dentist/Owner
Phone
(949) 581-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X O-118872-L CA Primary

Addresses

Primary practice location

26302 La Paz Rd
Ste 114
Mission Viejo, CA 92691-5327

Mailing address

26302 La Paz Rd
Ste 114
Mission Viejo, CA 92691-5327
Phone (949) 581-5800

Other identifiers 2

IdentifierTypeStateIssuer
B2321401OtherCADENTICAL
D23214MedicaidCA

Other names 1

  • South OC Pediatric Dentistry & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

26302 La Paz Rd
Ste 114
Mission Viejo, CA 92691
Phone (949) 581-5800

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1891790390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD",
            "address_2": "STE 114",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915327",
            "telephone_number": "949-581-5800",
            "fax_number": "949-581-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD",
            "address_2": "STE 114",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915327",
            "telephone_number": "949-581-5800",
            "fax_number": "949-581-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.D. DE LORME, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "DE LORME",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "949-581-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "O-118872-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B2321401",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D23214",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South OC Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.