William Pomeroy DDS Apc

Primary specialty

DentistTaxonomy code 122300000X

License

39196 Issued in CA

Legal business name

WILLIAM POMEROY DDS APC

Practice address

600 S Grand Ave
Ste #102
Santa Ana, CA 92705-4152

Phone

(714) 836-5611

Fax

(714) 836-5886

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

William Ignatius Pomeroy, DDS

Title

Owner

Phone

(949) 378-2712

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932303963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27762 ANTONIO PKWY",
            "address_2": "#L1-619",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "92694",
            "telephone_number": "949-378-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S GRAND AVE",
            "address_2": "STE #102",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054152",
            "telephone_number": "714-836-5611",
            "fax_number": "714-836-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM POMEROY DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POMEROY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "IGNATIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-378-2712",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDER NUMBER",
            "identifier": "519157",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.