Organization Active NPI

Dental Digital Design

  • Dental Laboratory
  • Irvine, CA
National Provider Identifier
1932576220
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
License
102325434 Issued in CA
Legal business name
DENTAL DIGITAL DESIGN
Doing business as
Dentech International
Practice address
17781 Sky Park Cir # D
Irvine, CA 92614-6103
Phone
(949) 252-0800
Fax
(949) 252-0801
NPI assigned
Aug 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Mr. Takanori Tani
Title
Authorized Official
Phone
(949) 252-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory 292200000X 102325434 CA Primary

Addresses

Primary practice location

17781 Sky Park Cir # D
Irvine, CA 92614-6103

Mailing address

17781 Sky Park Cir # D
Irvine, CA 92614-6103
Phone (949) 252-0800

Other names 1

  • Dentech International Doing business as

National Provider Directory

National Provider Directory

Locations

17781 Sky Park Cir
Ste D
Irvine, CA 92614
Phone (949) 252-0800

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1932576220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17781 SKY PARK CIR # D",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146103",
            "telephone_number": "949-252-0800",
            "fax_number": "949-252-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17781 SKY PARK CIR # D",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146103",
            "telephone_number": "949-252-0800",
            "fax_number": "949-252-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DIGITAL DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "TANI",
        "authorized_official_first_name": "TAKANORI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "949-252-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "CA",
            "license": "102325434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentech International",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.