DR. AJAY VARGHESE DMD
NPI 1144939091
Dentist - Periodontics in Tustin, CA

Q: What is Ajay Varghese's NPI number?

The NPI number for Ajay Varghese is 1144939091. It was assigned to this individual provider in the NPPES registry on November 18, 2022.

Q: What is Ajay Varghese's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Ajay Varghese was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 18, 2022

12569 NEWPORT AVE, TUSTIN, CA 92780(714) 544-2220 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Ajay Varghese Dmd NPPES

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

DR. AJAY VARGHESE DMD (NPI 1144939091) is an individual periodontics provider in Tustin, California, licensed in California (DDS111275) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1144939091

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. AJAY VARGHESECredential: DMD

Location Address12569 NEWPORT AVETustin, CA 92780-2420

Mailing Address12569 Newport AveTustin, CA 92780-2420 · (714) 544-2220

Phone(714) 544-2220

Sole ProprietorNo

Enumeration DateNovember 18, 2022

Last NPPES UpdateJuly 18, 2025

NPPES CertifiedJuly 18, 2025

✔ NPI 1144939091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · DDS111275

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License DEN.00205400 (CO)

12569 NEWPORT AVE, Tustin, CA 92780

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Other Providers at the Same Location NPPES

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

DR. STEPHEN ROBERT SHEPHERD D.D.S.

Dentist (Periodontics)

12569 NEWPORT AVE
TUSTIN, CA 92780

Orange County (714) 544-2220

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 Ajay Varghese's NPI number?

The NPI number for Ajay Varghese is 1144939091. It was assigned to this individual provider in the NPPES registry on November 18, 2022.

Where is Ajay Varghese located?

Ajay Varghese practices at 12569 Newport Ave, Tustin, CA 92780. The listed phone number is (714) 544-2220.

What is Ajay Varghese's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Ajay Varghese was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.