NPIMap

Organization Active NPI

Anthony P Garofalo, a Dental Corp

Doing business as Horizon Dental Group

  • Dentist
  • El Cajon, CA
National Provider Identifier
1114143310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25709 Issued in CA
Legal business name
ANTHONY P GAROFALO, A DENTAL CORP
Doing business as
Horizon Dental Group
Practice address
742 Broadway
El Cajon, CA 92021-4630
Phone
(619) 440-0071
Fax
(619) 440-0719
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anthony Philip Garofalo, DMDNPI 1720292998
Title
President
Phone
(619) 440-0071

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 25709 CA Primary

Addresses

Primary practice location

742 Broadway
El Cajon, CA 92021-4630

Mailing address

742 Broadway
El Cajon, CA 92021-4630
Phone (619) 440-0071

Other identifiers 1

IdentifierTypeStateIssuer
B25709OtherCADENTICAL

Other names 1

  • HORIZON DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

742 Broadway
El Cajon, CA 92021
Phone (619) 440-0071

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114143310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214630",
            "telephone_number": "619-440-0071",
            "fax_number": "619-440-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214630",
            "telephone_number": "619-440-0071",
            "fax_number": "619-440-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY P GAROFALO, A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAROFALO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-440-0071",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "25709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B25709",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HORIZON DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.