Organization Active NPI

Jeffrey R Kindseth DDS Apc

  • Prosthetic/Orthotic Supplier
  • Dana Point, CA
National Provider Identifier
1922542570
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
39168 Issued in CA
Legal business name
JEFFREY R KINDSETH DDS APC
Practice address
24721 La PLZ
Dana Point, CA 92629-2509
Phone
(949) 661-2152
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Dr. Jeffrey R. Kindseth, DDS
Title
President
Phone
(949) 661-2152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 39168 CA Primary

Addresses

Primary practice location

24721 La PLZ
Dana Point, CA 92629-2509

Mailing address

24721 La PLZ
Dana Point, CA 92629-2509
Phone (949) 661-2152

Other names 1

  • Dana Point Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1922542570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24721 LA PLZ",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292509",
            "telephone_number": "949-661-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24721 LA PLZ",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292509",
            "telephone_number": "949-661-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R KINDSETH DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "KINDSETH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-661-2152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "39168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dana Point Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 13, 2017; 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.