NPIMap

Organization Active NPI

Justin N Naylor DDS Professional Dental Corp

  • Endodontics
  • San Diego, CA
National Provider Identifier
1093554677
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
JUSTIN N NAYLOR DDS PROFESSIONAL DENTAL CORP
Practice address
12264 El Camino Real Ste 206
San Diego, CA 92130-3061
Phone
(858) 755-4787
Fax
(858) 755-7704
NPI assigned
May 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Dr. Justin N Naylor, DDSNPI 1053324772
Title
Endodontist/Owner
Phone
(858) 755-4787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

12264 El Camino Real Ste 206
San Diego, CA 92130-3061

Mailing address

12264 El Camino Real Ste 206
San Diego, CA 92130-3061
Phone (858) 755-4787

Other identifiers 1

IdentifierTypeStateIssuer
1053324772OtherENDODONTIC SPECIALTY OFFICE

Other names 1

  • Carmel Valley Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

12264 El Camino Real
Ste 206
San Diego, CA 92130
Phone (858) 755-4787

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": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1093554677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303061",
            "telephone_number": "858-755-4787",
            "fax_number": "858-755-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303061",
            "telephone_number": "858-755-4787",
            "fax_number": "858-755-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN N NAYLOR DDS PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "NAYLOR",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ENDODONTIST/OWNER",
        "authorized_official_telephone_number": "858-755-4787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENDODONTIC SPECIALTY OFFICE",
            "identifier": "1053324772",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmel Valley Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.