Organization Active NPI

Moulik D.D.S. Inc

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1912420340
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MOULIK D.D.S. INC
Practice address
2112 N Main St Ste 100
Santa Ana, CA 92706-2738
Phone
(714) 835-6677
Fax
(714) 558-6892
NPI assigned
Jul 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Bhaswati Moulik, D.D.S
Title
Owner/Chief Executive Officer
Phone
(949) 292-5863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2112 N Main St Ste 100
Santa Ana, CA 92706-2738

Mailing address

2112 N Main St Ste 100
Santa Ana, CA 92706-2738
Phone (714) 835-6677

Other names 1

  • SANTA ANA MAGIC SMILE DENTAL PRACTICE OF MOULIK D.D.S INC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912420340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 N MAIN ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062738",
            "telephone_number": "714-835-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 N MAIN ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062738",
            "telephone_number": "714-835-6677",
            "fax_number": "714-558-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOULIK D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOULIK",
        "authorized_official_first_name": "BHASWATI",
        "authorized_official_title_or_position": "OWNER/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "949-292-5863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANTA ANA MAGIC SMILE DENTAL PRACTICE OF MOULIK D.D.S INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.