CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP, INC. (NPI# 1700962347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700962347 |
| Entity Type | Organization |
| Organization Name | CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP, INC. |
| Other Organization Name | MOODY, CUMMINGS, BALASANIAN & CAPUTO, DDS, INC. |
| Practice Address |
26302 La Paz Rd Suite 102 Mission Viejo CA 92691-5313 |
| Practice Telephone | 9495967000 |
| Practice Fax Number | 9495860158 |
| Mailing Telephone | 9495967000 |
| Mailing Fax Number | 9495860158 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | DR. DAVID RAYMOND CUMMINGS (OWNER) |
| Authorized Official Telephone | 9497601600 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Moody, Cummings, Balasanian & Caputo, DDS, Inc. | Former Legal Business Name - Organization |
| Orange County Centers for Oral Surgery & Dental Implants | Doing Business As Name - Organization |
| Street Address |
26302 LA PAZ RD SUITE 102 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891790390 | J.d. De Lorme, D.d.s., Inc | Dentist | 26302 La Paz Rd, Ste 114, Mission Viejo, CA 92691-5327 | 2005-06-20 |
| 1083149942 | Roger E Riley Dds Inc | Dentist | 26302 La Paz Rd, Suite 210, Mission Viejo, CA 92691 | 2017-04-27 |
| 1679019806 | Sharif Elbayoumy, Dds, Inc | Dentist | 26302 La Paz Rd, Suite 212, Mission Viejo, CA 92691-5313 | 2017-01-11 |
| 1255720686 | Matthew Charles Kirsten | Physical Therapist | 26302 La Paz Rd, Suite 105, Mission Viejo, CA 92691-5313 | 2015-01-22 |
| 1346662723 | Aaron Tucker | Physical Therapist | 26302 La Paz Rd, Ste 105, Mission Viejo, CA 92691-5313 | 2014-01-20 |
| 1740518091 | Nicholas John Nelson Henderson | Physical Therapist | 26302 La Paz Rd, Ste 105, Mission Viejo, CA 92691-5313 | 2009-11-25 |
| 1245484807 | Laura S. Rydell | Psychologist | 26302 La Paz Rd, Suite 201, Mission Viejo, CA 92691-5313 | 2008-11-10 |
| 1558536565 | Mission Audiology, Inc | Audiologist-Hearing Aid Fitter | 26302 La Paz Rd, 107, Mission Viejo, CA 92691 | 2008-04-30 |
| 1801061429 | Cindy J Park | Dentist | 26302 La Paz Rd, Suite 209, Mission Viejo, CA 92691-5313 | 2008-04-24 |
| 1225206816 | William R Bartok Md Inc | Specialist | 26302 La Paz Rd, Suite 214, Mission Viejo, CA 92691-5313 | 2008-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639562796 | Salib Medical A Professional Corporation | Dentist | 26732 Crown Valley Pkwy Ste 531, Mission Viejo, CA 92691-8526 | 2015-03-13 |
| 1093961575 | Mohammad Hossein Mohammadi-araghi | Dentist | 25571 Jeromino Rd, Suite 11, Mission Viejo, CA 92691 | 2008-08-15 |
| 1992108302 | Salib Dds Inc | Dentist | 26732 Crown Valley Pkwy, Suite 531, Mission Viejo, CA 92691-6306 | 2014-09-29 |
| 1619316403 | Michael Kenneth Clark | Dentist | 27725 Santa Margarita Pkwy, Suite 130, Mission Viejo, CA 92691-6704 | 2013-06-14 |
| 1932341955 | Jeffrey Marshall Caputo | Dentist | 26302 La Paz Rd Ste 102, Mission Viejo, CA 92691-5327 | 2009-04-06 |
| 1629282355 | Foothill Oral Surgery Center | Dentist | 27725 Santa Margarita Pkwy, Suite 130, Mission Viejo, CA 92691-6704 | 2007-05-10 |
| 1346387362 | Eduard Balasanian | Dentist | 26302 La Paz Rd, Suite 102, Mission Viejo, CA 92691-5313 | 2007-01-31 |
| 1043377856 | Jackson Moses, Dds, Inc | Dentist | 27800 Medical Center Rd, 238, Mission Viejo, CA 92691-6410 | 2007-01-02 |
| 1801975594 | Nader K. Salib | Dentist | 26732 Crown Valley Pkwy, Suite 531, Mission Viejo, CA 92691-6306 | 2006-11-03 |
| 1427162932 | Jackson Moses | Dentist | 27800 Medical Center Rd, Suite 238, Mission Viejo, CA 92691-6410 | 2006-08-19 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.