San Diego Specialty Care

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

23856 Issued in CA

Legal business name

SAN DIEGO SPECIALTY CARE

Practice address

5638 Mission Center Rd
#105
San Diego, CA 92108-4348

Phone

(619) 293-3352

Fax

(619) 293-0708

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Stephen Needle, DDS

Title

Managing Doctor

Phone

(619) 293-3352

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1023216751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 MISSION CENTER RD",
            "address_2": "#105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084348",
            "telephone_number": "619-293-3352",
            "fax_number": "619-293-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5638 MISSION CENTER RD",
            "address_2": "#105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084348",
            "telephone_number": "619-293-3352",
            "fax_number": "619-293-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO SPECIALTY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "NEEDLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGING DOCTOR",
        "authorized_official_telephone_number": "619-293-3352",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "23856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Diego Rescue Mission
• San Diego Rescue Mission
• San Diego Second Chance Program
• San Diego Second Chance Program
• San Diego Specialists Kenneth J Roth Gen PTR
• San Diego Speech Pathology Services Inc.
• San Diego Spinal Care
• San Diego Spine and Wellness Center
• San Diego Spine Center
• San Diego Spine Center, AMC

• Oral and Maxillofacial Pathology Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.