NPIMap

Organization Active NPI

Penasquitos Dental

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1124425830
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48357 Issued in CA
Legal business name
PENASQUITOS DENTAL
Practice address
8534 Hopseed LN
San Diego, CA 92129-4166
Phone
(240) 383-7623
NPI assigned
Nov 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Dr. Frank MacNPI 1740277193
Title
Doctor
Phone
(240) 383-7623

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 48357 CA Primary

Addresses

Primary practice location

8534 Hopseed LN
San Diego, CA 92129-4166

Mailing address

8534 Hopseed LN
San Diego, CA 92129-4166
Phone (240) 383-7623

Other names 1

  • sddentalspecialist Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1124425830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8534 HOPSEED LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294166",
            "telephone_number": "240-383-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8534 HOPSEED LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294166",
            "telephone_number": "240-383-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENASQUITOS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "MAC",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "240-383-7623",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sddentalspecialist",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 28, 2021; 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.