Cheryl Estiva, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

59202 Issued in CA

Practice address

625 W Citracado Pkwy
Suite #208
Escondido, CA 92025-6428

Phone

(760) 745-7070

Fax

(760) 745-7077

NPI assigned

Jul 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tahir R Paul Dental Corp

  dba Kidz Care Dental Group

  • Pediatric Dentistry
  • Escondido, CA
  • NPI 1396998092
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1053541763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8829 SPECTRUM CENTER BLVD APT 3114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231481",
            "telephone_number": "415-652-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W CITRACADO PKWY",
            "address_2": "SUITE #208",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256428",
            "telephone_number": "760-745-7070",
            "fax_number": "760-745-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTIVA",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "59202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yndira Celene Esquivel
• West Esterle, DPT
• Kristina Estes
• Jacinth Esteves
• James Esther, M.D.
• Angela Janet Estrada Patino, PSYD
• Caitlin Madison Estrada
• Donna Estrada, LVN
• Elizabeth Estrada, RADT 1
• Patricia Estrada, NP

• 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 Feb 5, 2013; 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.