Active NPI
Hoss Keri El Dental Group a
- General Practice Dentistry
- Chula Vista, CA
National Provider Identifier
1003320979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42542
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryNPI 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.