Active NPI
Moulik D.D.S. Inc
- Dentist
- Santa Ana, CA
National Provider Identifier
1912420340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Atlanta, GA
- NPI 1922304559
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.