Organization Active NPI

Roberto Salazar Dental Corporation

  • General Practice Dentistry
  • San Marcos, CA
National Provider Identifier
1104549203
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROBERTO SALAZAR DENTAL CORPORATION
Practice address
365 S Rancho Santa Fe Rd Ste 105
San Marcos, CA 92078-2338
Phone
(760) 736-9200
Fax
(760) 736-9211
NPI assigned
Sep 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Roberto Salazar, DDSNPI 1063795797
Title
President
Phone
(760) 736-9200

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

365 S Rancho Santa Fe Rd Ste 105
San Marcos, CA 92078-2338

Mailing address

365 S Rancho Santa Fe Rd Ste 105
San Marcos, CA 92078-2338
Phone (760) 736-9200

Other names 1

  • North Coast Dental Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL northcoastfamilydental@gmail.com
Other URL northcoastfamilydental.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1104549203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 S RANCHO SANTA FE RD STE 105",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782338",
            "telephone_number": "760-736-9200",
            "fax_number": "760-736-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 S RANCHO SANTA FE RD STE 105",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782338",
            "telephone_number": "760-736-9200",
            "fax_number": "760-736-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO SALAZAR DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-736-9200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "northcoastfamilydental@gmail.com",
            "affiliation": "N",
            "address_1": "365 S Rancho Santa Fe Rd Ste 105",
            "city": "San Marcos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920782338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "northcoastfamilydental.com",
            "affiliation": "N",
            "address_1": "365 S Rancho Santa Fe Rd Ste 105",
            "city": "San Marcos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920782338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North Coast Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.