Organization Active NPI

Asil Dental Group, Inc

  • Dentist
  • San Clemente, CA
National Provider Identifier
1942437983
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52710 Issued in CA
Legal business name
ASIL DENTAL GROUP, INC
Practice address
390 Camino de Estrella
San Clemente, CA 92672-4859
Phone
(949) 481-2000
Fax
(949) 481-2411
NPI assigned
Jun 17, 2009
Last updated
Jun 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Mrs. Marina O Asil
Title
Office Manager
Phone
(949) 481-2000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 52710 CA Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 56645 CA
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 49560 CA
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 52200 CA

Addresses

Primary practice location

390 Camino de Estrella
San Clemente, CA 92672-4859

Mailing address

390 Camino de Estrella
San Clemente, CA 92672-4859
Phone (949) 481-2000

National Provider Directory

National Provider Directory

Locations

390 Camino de Estrella
San Clemente, CA 92672
Phone (949) 481-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1942437983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 CAMINO DE ESTRELLA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724859",
            "telephone_number": "949-481-2000",
            "fax_number": "949-481-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 CAMINO DE ESTRELLA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724859",
            "telephone_number": "949-481-2000",
            "fax_number": "949-481-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIL DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "ASIL",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-481-2000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52710",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "56645",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "49560",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.