Eric Olguin DDS, a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45945 Issued in CA

Legal business name

ERIC OLGUIN DDS, A DENTAL CORPORATION

Practice address

3750 W McFadden Ave
Suite D
Santa Ana, CA 92704-1388

Phone

(714) 775-7722

Fax

(714) 775-6131

NPI assigned

Oct 7, 2014

Organization subpart

No

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

Authorized official

Name

Eric Olguin, DDSNPI 1215065461

Title

Owner

Phone

(714) 775-7722

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Eric Olguin, DDS

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1215065461
  NPD Authorized official

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1982007753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W MCFADDEN AVE",
            "address_2": "SUITE D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041388",
            "telephone_number": "714-775-7722",
            "fax_number": "714-775-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W MCFADDEN AVE",
            "address_2": "SUITE D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041388",
            "telephone_number": "714-775-7722",
            "fax_number": "714-775-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC OLGUIN DDS, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "OLGUIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-775-7722",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eolg@sbcglobal.net",
            "affiliation": "N",
            "address_1": "3750 W McFadden Ave",
            "address_2": "Suite D",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927041388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Dentistry in California

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