La Mesa Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LA MESA DENTAL GROUP

Practice address

7872 La Mesa Blvd
La Mesa, CA 91941-3633

Phone

(619) 464-1211

Fax

(619) 464-3211

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Salvatore Campanella, DDSNPI 1265649750

Title

Owner

Phone

(619) 464-1211

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Salvatore Campanella, D.D.S.

  • Dentist
  • La Mesa, CA
  • NPI 1265649750
  NPD (past) Authorized official
• Robin Stuart Low, D.D.S.

  • Dentist
  • La Mesa, CA
  • NPI 1497962989
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144336033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7872 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413633",
            "telephone_number": "619-464-1211",
            "fax_number": "619-464-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7872 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413633",
            "telephone_number": "619-464-1211",
            "fax_number": "619-464-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MESA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPANELLA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-464-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lloyd Stuart Kuritsky, D.O.
• Kyle W. Seeley, DO Apc
• Steve La Bella, PTA
• La Mesa Business Associates
• La Mesa Cardiac Center, a Medical Group
• La Mesa Family Health Center
• La Mesa Health Services LLC
• La Mesa Med Equipment Inc
• La Mesa Medical and Surgical Ctr
• La Mesa OB GYN Medical Group Inc

• General Practice Dentistry in La Mesa, CA
• Providers in La Mesa, CA by specialty
• General Practice Dentistry in California

• 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.