Individual provider Active NPI

David Guthrie Freeman II, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1023195617
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47720 Issued in CA
Practice address
3095 Clairemont Dr
Suite A1
San Diego, CA 92117-6815
Phone
(619) 276-3283
Fax
(619) 276-3299
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 47720 CA Primary

Addresses

Primary practice location

3095 Clairemont Dr
Suite A1
San Diego, CA 92117-6815

Mailing address

3095 Clairemont Dr
Suite A1
San Diego, CA 92117-6815
Phone (619) 276-3283

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

LicenseStateTypeSpecialty
47720CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023195617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 CLAIREMONT DR",
            "address_2": "SUITE A1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176815",
            "telephone_number": "619-276-3283",
            "fax_number": "619-276-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 CLAIREMONT DR",
            "address_2": "SUITE A1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176815",
            "telephone_number": "619-276-3283",
            "fax_number": "619-276-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "DAVID",
        "middle_name": "GUTHRIE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47720",
            "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 Jul 21, 2022; 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.