Renata Adames DDS Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RENATA ADAMES DDS PROFESSIONAL DENTAL CORPORATION

Practice address

570 W 19TH St
Costa Mesa, CA 92627-2749

Phone

(949) 642-4222

Fax

(949) 642-4657

NPI assigned

Oct 3, 2018

Organization subpart

No

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

Authorized official

Name

Yessica Perez

Title

Office Manager

Phone

(949) 642-4222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1992280127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 W 19TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272749",
            "telephone_number": "949-642-4222",
            "fax_number": "949-642-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W 19TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272749",
            "telephone_number": "949-642-4222",
            "fax_number": "949-642-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATA ADAMES DDS PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "YESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-642-4222"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Costa Mesa, CA
• Providers in Costa Mesa, 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 3, 2018; 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.