David P Derosier DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

35869 Issued in CA

Legal business name

DAVID P DEROSIER DDS INC

Practice address

3019 Emerson Street
San Diego, CA 92106-2603

Phone

(619) 222-7400

Fax

(619) 222-7018

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

David Paul Derosier, DDSNPI 1437483013

Title

Dr Owner

Phone

(619) 222-7400

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Paul Derosier, D.D.S.

  • Dentist
  • San Diego, CA
  • NPI 1437483013
  NPD (past) Authorized official

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1013978477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 EMERSON STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062603",
            "telephone_number": "619-222-7400",
            "fax_number": "619-222-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 EMERSON STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062603",
            "telephone_number": "619-222-7400",
            "fax_number": "619-222-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P DEROSIER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "DEROSIER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DR OWNER",
        "authorized_official_telephone_number": "619-222-7400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "35869",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David P Slack, MD Inc.
• David R. Duguid, D.D.S., P.C.
• David Rens, DDS and Ann Marie Zimerman, DDS Apc
• David S. Janowsky
• David Sincavage, MD Apmc

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.