Organization Active NPI

Georgia Haddad DDS Inc

  • Dentist
  • Oxnard, CA
National Provider Identifier
1124661095
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GEORGIA HADDAD DDS INC
Practice address
1801 Solar Dr Ste 290
Oxnard, CA 93030-0155
Phone
(805) 278-8887
NPI assigned
Oct 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Georgia Haddad, DDS
Title
Owner
Phone
(805) 278-8887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1801 Solar Dr Ste 290
Oxnard, CA 93030-0155

Mailing address

1801 Solar Dr Ste 290
Oxnard, CA 93030-0155

Other names 1

  • Beach Cities Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

1801 Solar Dr
Ste 290
Oxnard, CA 93030
Phone (310) 720-2313

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1124661095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR STE 290",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR STE 290",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300155",
            "telephone_number": "805-278-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA HADDAD DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-278-8887",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Cities Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.