Plain-English Taxonomy Translation (122300000X)
What Does Taxonomy Code 122300000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 122300000X translates in plain language to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"
CMS Medicare Utilization & Part D Prescribing Benchmarks
Common Procedures & Clinical Prescribing Profile
Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 109 DENTAL GROUP, PROFESSIONAL CORPORATION:
High-Volume Clinical Procedures & Diagnostics:- Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
- Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
- Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
- Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1447156245 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 109 DENTAL GROUP, PROFESSIONAL CORPORATION |
| Plain-English Specialty | Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: 1223G0001X (Dentist, General Practice) |
| Certifying / Licensing Body | American Dental Association (ADA) / State Board of Dental Examiners |
| Practice Location Address | 10900 WARNER AVE STE 109, FOUNTAIN VALLEY, CA, 927083846 |
| Practice Telephone / Fax | Tel: 714-963-5634 |
| Administrative Mailing Address | 400 MOBIL AVE STE A4, CAMARILLO, CA, 930106375 |
| Enumeration & Last Sync | Enumerated: 2026-10-17 | Updated: 2026-10-17 |
| Authorized Official | THOMAS PHAM (Owner Dentist) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps & Parking ⚙️ View Enriched JSON API
ADA & HIPAA Verification Note: Practice locations registered as primary
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LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).
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All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1223G0001X — Dentist, General PracticePlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: N/A | License: Verified | Primary Taxonomy: Yes |