CARMY MICHAEL DDS CORP. NPI 1376021576

NPI Information

NPI: 1376021576
Provider Name: CARMY MICHAEL, DDS CORP.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1442 IRVINE BLVD STE 105
TUSTIN, CA
ZIP 92780
Phone: (714) 874-6069
Get Directions

CARMY MICHAEL, DDS CORP. is a dental clinic center in Tustin, CA. CARMY MICHAEL, DDS CORP. NPI is 1376021576. The provider is registered as an organization entity type.

The provider's business location address is:

1442 IRVINE BLVD STE 105
TUSTIN, CA
ZIP 92780-845
Phone: (714) 874-6069

The provider's authorized official is Carmy Gabriel Michael .
The authorized official title is President and has the following contact phone number (714) 874-6069.

The enumeration date for this NPI number is 7/31/2018 and was last updated on 7/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12-4767679	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »