Active NPI
Orly Taitz
- Dentist
- Mission Viejo, CA
National Provider Identifier
1902095813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37934
- Practice address
- 26302 La Paz Rd Ste 211
Mission Viejo, CA 92691-5328 - Phone
- (949) 586-8110
- NPI assigned
- Oct 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37934 | CA | Primary |
Addresses
Primary practice location
26302 La Paz Rd Ste 211
Mission Viejo, CA 92691-5328
Mailing address
26302 La Paz Rd Ste 211
Mission Viejo, CA 92691-5328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Rancho Santa Margarita, CA
- NPI 1699298414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1902095813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26302 LA PAZ RD STE 211",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26302 LA PAZ RD STE 211",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915328",
"telephone_number": "949-586-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAITZ",
"first_name": "ORLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-16",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "37934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.