Organization Active NPI

Assistance League of Newport-Mesa California

Doing business as Cheri Harris Dental Center

  • General Practice Dentistry
  • Costa Mesa, CA
National Provider Identifier
1942608435
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07123 Issued in CA
Legal business name
ASSISTANCE LEAGUE OF NEWPORT-MESA CALIFORNIA
Doing business as
Cheri Harris Dental Center
Practice address
2220 Fairview Road
Costa Mesa, CA 92627
Phone
(949) 645-2882
Fax
(949) 645-2191
NPI assigned
Dec 15, 2014
Last updated
Jun 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Dr. David Zee Hamada, DDS
Title
Dental Advisor
Phone
(949) 645-2882

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 07123 CA
General Practice Dentistry 1223G0001X 07123 CA Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 07123 CA
Dental Hygienist 124Q00000X 07123 CA
Dental Assistant 126800000X 07123 CA

Addresses

Primary practice location

2220 Fairview Road
Costa Mesa, CA 92627

Mailing address

2220 Fairview Road
Costa Mesa, CA 92627
Phone (949) 645-6929

Other names 1

  • Cheri Harris Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Assistance League of Newport Mesa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2220 Fairview Rd
Costa Mesa, CA 92627
Phone (949) 645-2882

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": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1942608435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 FAIRVIEW ROAD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92627",
            "telephone_number": "949-645-6929",
            "fax_number": "949-645-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 FAIRVIEW ROAD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92627",
            "telephone_number": "949-645-2882",
            "fax_number": "949-645-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTANCE LEAGUE OF NEWPORT-MESA CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "HAMADA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ZEE",
        "authorized_official_title_or_position": "DENTAL ADVISOR",
        "authorized_official_telephone_number": "949-645-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "07123",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "07123",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "07123",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "07123",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "07123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheri Harris Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.