Organization Active NPI

Ada Gruita, a Dental Corporation

  • General Practice Dentistry
  • Mission Viejo, CA
National Provider Identifier
1982023792
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49537 Issued in CA
Legal business name
ADA GRUITA, A DENTAL CORPORATION
Practice address
27680 Santa Margarita Pkwy
Mission Viejo, CA 92691-6674
Phone
(949) 916-6868
Fax
(949) 916-6869
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Mrs. Ada Gruita, DDSNPI 1578707733
Title
President/Dentist
Phone
(949) 525-8238

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49537 CA Primary

Addresses

Primary practice location

27680 Santa Margarita Pkwy
Mission Viejo, CA 92691-6674

Mailing address

15 Saint Pierre
Trabuco Canyon, CA 92679-3724
Phone (949) 525-8238

Other names 1

  • Pro Health Dental Doing business as

National Provider Directory

National Provider Directory

Locations

27680 Santa Margarita Pkwy
Mission Viejo, CA 92691
Phone (949) 916-6868

Practitioners & affiliated clinicians

Practitioners 1

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": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1982023792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SAINT PIERRE",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793724",
            "telephone_number": "949-525-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27680 SANTA MARGARITA PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916674",
            "telephone_number": "949-916-6868",
            "fax_number": "949-916-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA GRUITA, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "GRUITA",
        "authorized_official_first_name": "ADA",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "949-525-8238",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Health Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.