Organization Active NPI

Anna M Mendoza DDS Inc

Doing business as AM Dental

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1134685688
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANNA M MENDOZA DDS INC
Doing business as
AM Dental
Practice address
3041 Bonita Rd Ste 101
Chula Vista, CA 91910-3265
Phone
(619) 591-9222
Fax
(619) 591-9217
NPI assigned
Feb 20, 2019
Last updated
Mar 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Dr. Anna Marie Mendoza, DDSNPI 1235280777
Title
President/Owner
Phone
(619) 591-9222

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 Dentistry 1223G0001X Primary

Addresses

Primary practice location

3041 Bonita Rd Ste 101
Chula Vista, CA 91910-3265

Mailing address

3041 Bonita Rd Ste 101
Chula Vista, CA 91910-3265
Phone (619) 591-9222

Other names 1

  • AM Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3041 Bonita Rd
Ste 101
Chula Vista, CA 91910
Phone (619) 591-9222

Practitioners & affiliated clinicians

Practitioners 1

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": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1134685688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 BONITA RD STE 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103265",
            "telephone_number": "619-591-9222",
            "fax_number": "619-591-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 BONITA RD STE 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103265",
            "telephone_number": "619-591-9222",
            "fax_number": "619-591-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA M MENDOZA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "619-591-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AM Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AM Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.