Active NPI
Wayne Michael Deutsch, DDS, MPH
- Public Health Dentistry
- San Diego, CA
National Provider Identifier
1013086032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 5474
- Practice address
- 2310 Craven St
San Diego, CA 92136-5596 - Phone
- (619) 556-8210
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | D9110 | MN | |
| Public Health Dentistry | 1223D0001X | 5474 | CO | Primary |
Addresses
Primary practice location
2310 Craven St
San Diego, CA 92136-5596
Mailing address
2310 Craven St
San Diego, CA 92136-5596
Phone (619) 556-8210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9110 | MN | MD | Public Health Dentist |
| 5474 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1013086032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 CRAVEN ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921365596",
"telephone_number": "619-556-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 CRAVEN ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921365596",
"telephone_number": "619-556-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEUTSCH",
"first_name": "WAYNE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "MN",
"license": "D9110",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "CO",
"license": "5474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.