Organization Active NPI

Hoss Keri El Dental Group a

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1003320979
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42542 Issued in CA
Legal business name
HOSS KERI EL DENTAL GROUP A
Practice address
2226 Otay Lakes Rd
Chula Vista, CA 91915-1010
Phone
(619) 216-7336
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura Flores
Title
Office Manager
Phone
(619) 961-9867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 42542 CA Primary

Addresses

Primary practice location

2226 Otay Lakes Rd
Chula Vista, CA 91915-1010

Mailing address

9737 Aero Dr
San Diego, CA 92123-1859
Phone (619) 636-2665

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1003320979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 AERO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231859",
            "telephone_number": "619-636-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 OTAY LAKES RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151010",
            "telephone_number": "619-216-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSS KERI EL DENTAL GROUP A",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-961-9867"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.