Keri Esc Dental Group Apc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KERI ESC DENTAL GROUP APC

Doing business as

Keri ESC Dental Group APC

Practice address

390 W Valley Pkwy Ste a
Escondido, CA 92025-2635

Phone

(760) 336-9478

Fax

(619) 362-9923

NPI assigned

Apr 9, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Nazli Keri, DDS

Title

Owner

Phone

(619) 636-2665

Specialties & licenses 1

Addresses

Other names 1

• Keri ESC Dental Group APC Doing business as

Locations

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1033672720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 AERO DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W VALLEY PKWY STE A",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252635",
            "telephone_number": "760-336-9478",
            "fax_number": "619-362-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERI ESC DENTAL GROUP APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "KERI",
        "authorized_official_first_name": "NAZLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-636-2665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keri ESC Dental Group APC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keri ESC Dental Group APC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert F Kenney III
• Ryan Daniel Kenney
• Gregory James Kenton, PT OCS
• Nick Keomahavong, IMF
• Jeffry S Kerbs, DDS
• Aidan Marie Kerr
• Kathryn Kerr, RN, PHN
• Sara Keshavarzi, FNP
• Kimberly Marie Ketchum, ASW
• Paul Michael Ketchum, D.P.T.

• Pediatric Dentistry in Escondido, CA
• Providers in Escondido, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.