Individual provider Active NPI

Arthur David Santos, DDS

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1093059651
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62050 Issued in CA
Practice address
498 Hale St
Chula Vista, CA 91910-6430
Phone
(619) 421-5393
Fax
(619) 482-5740
NPI assigned
Nov 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62050 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200518002846 CA Practitioner - Oral Surgery 8426489113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur Santos DDS Corp CurrentSince Mar 1, 2020 Accepting new patients
Arthur D.Santos DDS a Profesional Corp General Practice Past Accepting new patients

Locations

12110 Woodside Ave
Lakeside, CA 92040
Phone (619) 334-8743

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1093059651",
    "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": {
        "last_name": "SANTOS",
        "first_name": "ARTHUR",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.