OrganizationActive
Lydia Koernianingsih DDS a Prof Corp
NPI 1922349521 · Dentist · Santa Ana, CA
Lydia Koernianingsih DDS a Prof Corp is a Dentist organization in Santa Ana, CA (NPI 1922349521).
Provider details
- NPI number
- 1922349521
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Lydia Koernianingsih, Dentist / Owner(714) 558-4895
- License
- 48488 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1125 E 17th St Ste W234
Santa Ana, CA 92701-2228
Phone: (714) 558-4895
Fax: (714) 558-4896
Street-level locationGet directions
Mailing address
1125 E 17th St Ste W234
Santa Ana, CA 92701-2228
Other names (DBA / former)
- Doing business as
- Ldj Family Dentistry
- Doing business as
- Ldj Family Dentistry
Registry dates
- Enumerated
- 2013-03-06
- Last updated
- 2020-01-24
- Certified
- 2020-01-24
Frequently asked questions
- What is Lydia Koernianingsih DDS a Prof Corp's NPI number?
- Lydia Koernianingsih DDS a Prof Corp's National Provider Identifier (NPI) is 1922349521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lydia Koernianingsih DDS a Prof Corp?
- Lydia Koernianingsih DDS a Prof Corp is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lydia Koernianingsih DDS a Prof Corp located?
- Lydia Koernianingsih DDS a Prof Corp's practice location on file with NPPES is 1125 E 17th St Ste W234, Santa Ana, CA 92701-2228.
- What is Lydia Koernianingsih DDS a Prof Corp's phone number?
- The practice phone number listed in the NPPES registry for Lydia Koernianingsih DDS a Prof Corp is (714) 558-4895.
- Who is the authorized official for Lydia Koernianingsih DDS a Prof Corp?
- The authorized official listed on Lydia Koernianingsih DDS a Prof Corp's NPPES record is Lydia Koernianingsih, Dentist / Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lydia Koernianingsih DDS a Prof Corp's NPI active?
- Yes — Lydia Koernianingsih DDS a Prof Corp's NPI (1922349521) is active in the NPPES registry as of the last update on 2020-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.