Seena Ghetmiri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103070 Issued in CA

Practice address

8657 Villa la Jolla Dr Ste 211
La Jolla, CA 92037-8309

Phone

(858) 272-2260

NPI assigned

Sep 7, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minh B. Pham D.D.S. Inc.

  dba Clairemont Smiles Dentistry and Orthodontics Dental Group

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1750725578
  NPD (past)
• Minh Pham Dental Corporation

  dba La Jolla Village Smiles Dentistry and Implants

  • General Practice Dentistry
  • La Jolla, CA
  • NPI 1588092969
  NPD (past)

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1063995975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W HARBOR DR UNIT 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8657 VILLA LA JOLLA DR STE 211",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920378309",
            "telephone_number": "858-272-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5675 Balboa Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921112705",
            "country_code": "US",
            "telephone_number": "858-268-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHETMIRI",
        "first_name": "SEENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roudabeh K Ghaffari, DMD
• Bahman Ghannadian, MD, PHD
• Christine Emilie Ghatan, MD
• Omar A. Ghausi, M.D.
• Selemawit Teklia Ghebrendrias
• Ida Ghlichloo, MD
• Pradipta Ghosh, M.D.
• Gianni Giancaspro
• Anna Delfina Giannella, R. D. - C. D. E.
• Ngoc-Minh Giap, RPH

• General Practice Dentistry in La Jolla, CA
• Providers in La Jolla, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.