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MRS. LYDIA KOERNIANINGSIH DDS
NPI 1083817423
Dentist in Santa Ana, CA

Active since June 05, 2007
1125 E 17TH ST STE W234, SANTA ANA, CA 92701(714) 558-4895(714) 558-4896 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 24, 2020, Jan 16, 2017 (2 updates tracked since 2017).

About Mrs. Lydia Koernianingsih Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LYDIA KOERNIANINGSIH DDS (NPI 1083817423) is an individual dentist in Santa Ana, California, licensed in California (48488) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1083817423
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMRS. LYDIA KOERNIANINGSIHCredential: DDS
Location Address1125 E 17TH ST STE W234Santa Ana, CA 92701-2228
Mailing Address1125 E 17th St Ste W234Santa Ana, CA 92701-2228 · (714) 558-4895 · Fax (714) 558-4896
Phone(714) 558-4895
Fax(714) 558-4896
Sole ProprietorNo
Enumeration DateJune 5, 2007
Last NPPES UpdateJanuary 24, 20202 updates tracked since enumeration
✔ NPI 1083817423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 48488
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1125 E 17TH ST STE W234, Santa Ana, CA 92701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYDIA KOERNIANINGSIH DDS A PROF CORP
Dentist
1125 E 17TH ST STE W234
SANTA ANA, CA 92701
Orange County (714) 558-4895

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Koernianingsih's NPI number?

The NPI number for Lydia Koernianingsih is 1083817423. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Lydia Koernianingsih located?

Lydia Koernianingsih practices at 1125 E 17th St Ste W234, Santa Ana, CA 92701. The listed phone number is (714) 558-4895.

What is Lydia Koernianingsih's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Lydia Koernianingsih accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Lydia Koernianingsih as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lydia Koernianingsih was last updated on January 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.