Organization Active NPI

Austin D Hoover DDS Dental Corporation

  • Dental Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1962850602
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
61621 Issued in CA
Legal business name
AUSTIN D HOOVER DDS DENTAL CORPORATION
Practice address
801 N Tustin Ave Ste 705
Santa Ana, CA 92705-3611
Phone
(714) 835-8873
NPI assigned
Jun 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Dr. Austin Deryck Hoover, DDSNPI 1467700039
Title
President
Phone
(951) 205-5790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 61621 CA Primary

Addresses

Primary practice location

801 N Tustin Ave Ste 705
Santa Ana, CA 92705-3611

Mailing address

801 N Tustin Ave Ste 705
Santa Ana, CA 92705-3611

Other identifiers 2

IdentifierTypeStateIssuer
61621OtherCADDS LICENSE
1467700039OtherCANPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1962850602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 705",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 705",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053611",
            "telephone_number": "714-835-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN D HOOVER DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "DERYCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-205-5790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "61621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDS LICENSE",
            "identifier": "61621",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467700039",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.