Individual provider Active NPI

Jose H Torres-Uribe, D.D.S.

  • General Practice Dentistry
  • La Mesa, CA
National Provider Identifier
1104960327
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45039 Issued in CA
Practice address
7122 University Ave
La Mesa, CA 91942-5926
Phone
(619) 698-5471
Fax
(619) 698-3075
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 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 45039 CA Primary

Addresses

Primary practice location

7122 University Ave
La Mesa, CA 91942-5926

Mailing address

7122 University Ave
La Mesa, CA 91942-5926
Phone (619) 698-5471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45039CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Prasad Gonavarum D.D.S., Professional Corporation Past Accepting new patients
Jose H. Torres-Uribe DDS, Inc Past Accepting new patients

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1104960327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7122 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425926",
            "telephone_number": "619-698-5471",
            "fax_number": "619-698-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7122 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425926",
            "telephone_number": "619-698-5471",
            "fax_number": "619-698-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-URIBE",
        "first_name": "JOSE",
        "middle_name": "H",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.