Organization Active NPI

Dana Point Smiles

  • General Practice Dentistry
  • Dana Point, CA
National Provider Identifier
1912306721
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29647 Issued in CA
Legal business name
DANA POINT SMILES
Practice address
24655 La PLZ
Suite E
Dana Point, CA 92629-2583
Phone
(949) 496-5713
NPI assigned
Aug 18, 2014
Last updated
Aug 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Ms. Kimberly A Evans
Title
Office Manager
Phone
(949) 496-5713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29647 CA Primary

Addresses

Primary practice location

24655 La PLZ
Suite E
Dana Point, CA 92629-2583

Mailing address

24655 La PLZ
Suite E
Dana Point, CA 92629-2583
Phone (949) 496-5713

National Provider Directory

National Provider Directory

Locations

24655 La Plaza
Ste E
Dana Point, CA 92629
Phone (949) 496-5713

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1912306721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24655 LA PLZ",
            "address_2": "SUITE E",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292583",
            "telephone_number": "949-496-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24655 LA PLZ",
            "address_2": "SUITE E",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292583",
            "telephone_number": "949-496-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA POINT SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-496-5713",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.