NPIMap

Organization Active NPI

Royal Smile Center

  • Dentist
  • Anaheim, CA
National Provider Identifier
1922452309
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53592 Issued in CA
Legal business name
ROYAL SMILE CENTER
Practice address
1715 W Romneya Dr
Anaheim, CA 92801-1804
Phone
(714) 808-0766
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Mohamed Kays Dowidari
Title
Dentist
Phone
(714) 808-0766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 53592 CA Primary

Addresses

Primary practice location

1715 W Romneya Dr
Anaheim, CA 92801-1804

Mailing address

1715 W Romneya Dr
Anaheim, CA 92801-1804
Phone (714) 808-0766

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Corona3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1715 W Romneya Dr
Anaheim, CA 92801
Phone (714) 808-0766

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1922452309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 W ROMNEYA DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011804",
            "telephone_number": "714-808-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 W ROMNEYA DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011804",
            "telephone_number": "714-808-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL SMILE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "DOWIDARI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "KAYS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-808-0766"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.