NPIMap

Organization Active NPI

Eskeland and Ettefagh Dental Corporation

Doing business as Regents Dental Group

  • General Practice Dentistry
  • La Jolla, CA
National Provider Identifier
1134214281
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ESKELAND AND ETTEFAGH DENTAL CORPORATION
Doing business as
Regents Dental Group
Practice address
4150 Regents Park Row
Suite 100
La Jolla, CA 92037
Phone
(858) 687-9077
Fax
(858) 587-4663
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Stephen P Eskeland, DDSNPI 1740289289
Title
Owner/Dentist
Phone
(858) 587-9077

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4150 Regents Park Row
Suite 100
La Jolla, CA 92037

Mailing address

4150 Regents Park Row
Suite 100
La Jolla, CA 92037
Phone (858) 687-9077

Other names 1

  • Regents Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

4150 Regents Park Row
Ste 100
La Jolla, CA 92037
Phone (858) 587-9077

Practitioners & affiliated clinicians

Practitioners 2

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1134214281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW",
            "address_2": "SUITE 100",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-687-9077",
            "fax_number": "858-587-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW",
            "address_2": "SUITE 100",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-687-9077",
            "fax_number": "858-587-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESKELAND AND ETTEFAGH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "ESKELAND",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "858-587-9077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regents Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.