Organization Active NPI

Patricia Degraw-Schwartz, DDS,Inc

  • General Practice Dentistry
  • Orange, CA
National Provider Identifier
1982813069
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42415 Issued in CA
Legal business name
PATRICIA DEGRAW-SCHWARTZ, DDS,INC
Practice address
1122 E Lincoln Ave
Suite 104
Orange, CA 92865-1907
Phone
(714) 282-2490
Fax
(714) 282-2494
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Patricia Cecile Degraw-Schwartz, D.D.S.
Title
Owner
Phone
(714) 282-2490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 42415 CA Primary

Addresses

Primary practice location

1122 E Lincoln Ave
Suite 104
Orange, CA 92865-1907

Mailing address

1122 E Lincoln Ave
Suite 104
Orange, CA 92865-1907
Phone (714) 282-2490

Other names 1

  • The Tooth Spa Doing business as

National Provider Directory

National Provider Directory

Locations

1122 E Lincoln Ave
Ste 104
Orange, CA 92865
Phone (714) 282-2490

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1982813069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE",
            "address_2": "SUITE 104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651907",
            "telephone_number": "714-282-2490",
            "fax_number": "714-282-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE",
            "address_2": "SUITE 104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651907",
            "telephone_number": "714-282-2490",
            "fax_number": "714-282-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA DEGRAW-SCHWARTZ, DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "DEGRAW-SCHWARTZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "CECILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-282-2490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Tooth Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.