Organization Active NPI

Richard P. Mungo D.D.S., M.S.D., M.Ed.

  • Pediatric Dentistry
  • Huntington Beach, CA
National Provider Identifier
1902145246
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
29634 Issued in CA
Legal business name
RICHARD P. MUNGO D.D.S., M.S.D., M.ED.
Practice address
7891 Talbert Ave
Suite 103
Huntington Beach, CA 92648-8612
Phone
(714) 841-4990
Fax
(714) 847-1030
NPI assigned
Feb 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Richard Paul Mungo, D.D.S.NPI 1215955299
Title
Dentist
Phone
(714) 841-4990

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 29634 CA Primary

Addresses

Primary practice location

7891 Talbert Ave
Suite 103
Huntington Beach, CA 92648-8612

Mailing address

7891 Talbert Ave
Suite 103
Huntington Beach, CA 92648-8612
Phone (714) 841-4990

National Provider Directory

National Provider Directory

Locations

7891 Talbert Ave
Ste 103
Huntington Beach, CA 92648
Phone (714) 841-4990

Practitioners & affiliated clinicians

Practitioners 3

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": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1902145246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 TALBERT AVE",
            "address_2": "SUITE 103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926488612",
            "telephone_number": "714-841-4990",
            "fax_number": "714-847-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7891 TALBERT AVE",
            "address_2": "SUITE 103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926488612",
            "telephone_number": "714-841-4990",
            "fax_number": "714-847-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P. MUNGO D.D.S., M.S.D., M.ED.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "MUNGO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-841-4990",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "29634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.