Organization Active NPI

Arthur D.Santos DDS a Profesional Corp

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1033243043
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35988 Issued in CA
Legal business name
ARTHUR D.SANTOS DDS A PROFESIONAL CORP
Practice address
498 Hale St
Chula Vista, CA 91910-6430
Phone
(619) 421-5393
Fax
(619) 482-5740
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Arthur David Santos, DDS
Title
Owner
Phone
(619) 421-5393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 35988 CA Primary

Addresses

Primary practice location

498 Hale St
Chula Vista, CA 91910-6430

Mailing address

498 Hale St
Chula Vista, CA 91910-6430
Phone (619) 421-5393

Other identifiers 1

IdentifierTypeStateIssuer
G90562-02MedicaidCA

National Provider Directory

National Provider Directory

Locations

498 Hale St
Chula Vista, CA 91910
Phone (619) 421-5393

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033243043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 HALE ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106430",
            "telephone_number": "619-421-5393",
            "fax_number": "619-482-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 HALE ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106430",
            "telephone_number": "619-421-5393",
            "fax_number": "619-482-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR D.SANTOS DDS A PROFESIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-421-5393",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G90562-02",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.