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DR. MAUREEN ROBERTA DORNAN D.D.S.
NPI 1477559896
Dentist - General Practice in Tustin, CA

Active since June 21, 2005PECOS Enrolled
13422 NEWPORT AVE, STE B, TUSTIN, CA 92780(714) 544-2020(714) 544-7620 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Maureen Roberta Dornan D.d.s. NPPES

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

DR. MAUREEN ROBERTA DORNAN D.D.S. (NPI 1477559896) is an individual general practice provider in Tustin, California, licensed in California (30107) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1477559896
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MAUREEN ROBERTA DORNANCredential: D.D.S.
Location Address13422 NEWPORT AVE, STE BTustin, CA 92780-3746
Mailing Address13422 Newport Ave, Ste BTustin, CA 92780-3746 · (714) 544-2020 · Fax (714) 544-7620
Phone(714) 544-2020
Fax(714) 544-7620
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJune 21, 2005
Last NPPES UpdateOctober 24, 2016
✔ NPI 1477559896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 30107
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
13422 NEWPORT AVE, Tustin, CA 92780
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maureen Roberta Dornan D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648421321
PECOS Enrollment IDI20121105000637
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

TUSTIN LONGEVITY CENTER
Preferred Provider Organization
13422 NEWPORT AVE, SUITE L
TUSTIN, CA 92780
Orange County (714) 544-1521
DR. RITA RENEE ELLITHORPE M.D.
General Practice
13422 NEWPORT AVE, SUITE L
TUSTIN, CA 92780
Orange County (714) 544-1521
TUSTIN TELERADIOLOGY MEDICAL GROUP INC.
Radiologic Technologist (Radiography)
13422 NEWPORT AVE, SUITE I
TUSTIN, CA 92780
Orange County (714) 665-6900
DR. THOMAS L ATLAS MD
Radiologic Technologist (Radiography)
13422 NEWPORT AVE, SUITE I
TUSTIN, CA 92780
Orange County (714) 665-6900
TUSTIN LONGEVITY CENTER
Family Medicine
13422 NEWPORT AVE, SUITE L
TUSTIN, CA 92780
Orange County (714) 544-1521
DR. CYNDEE AYSON MITCHELL M.D.
Obstetrics & Gynecology (Gynecology)
13422 NEWPORT AVE, SUITE L
TUSTIN, CA 92780
Orange County (714) 544-1521
DR. SANDI E SILVA DDS
Dentist (General Practice)
13422 NEWPORT AVE, SUITE A
TUSTIN, CA 92780
Orange County (714) 544-5883
BIGDELI DDS INC
Dentist (General Practice)
13422 NEWPORT AVE, E
TUSTIN, CA 92780
Orange County (714) 665-0005

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 Maureen Dornan's NPI number?

The NPI number for Maureen Dornan is 1477559896. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Maureen Dornan located?

Maureen Dornan practices at 13422 Newport Ave Ste B, Tustin, CA 92780. The listed phone number is (714) 544-2020.

What is Maureen Dornan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Maureen Dornan enrolled in Medicare?

Yes. Maureen Dornan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maureen Dornan was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.