Scott a Recksiedler DMD a Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

60747 Issued in CA

Legal business name

SCOTT A RECKSIEDLER DMD A DENTAL CORPORATION

Practice address

8860 Center Dr Ste 460
La Mesa, CA 91942-7001

Phone

(619) 463-3773

Fax

(619) 463-1272

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Scott A Recksiedler, DMDNPI 1407148216

Title

President

Phone

(619) 463-3773

Specialties & licenses 1

Addresses

Other names 1

• San Diego Prosthodontics Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Scott Recksiedler, D.M.D.

  • Prosthodontics
  • La Mesa, CA
  • NPI 1407148216
  Medicare reassignment NPD Authorized official
• Harold J Gulbransen, DDS

  • Prosthodontics
  • La Mesa, CA
  • NPI 1215047469
  NPD (past)
• Man Y Pun, DDS

  • Prosthodontics
  • La Mesa, CA
  • NPI 1285857896
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1144711979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR STE 460",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-463-3773",
            "fax_number": "619-463-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR STE 460",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-463-3773",
            "fax_number": "619-463-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A RECKSIEDLER DMD A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "RECKSIEDLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-463-3773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "60747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Prosthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Lloyd Schulz, M.D.
• Kristin Schulz, DPT
• Andee M Schuur, MA
• Lauren Schwettmann, PA-C
• Ivan Scolari
• Scott Logan Brown, MD, a Professional Corp
• Marie Claire Scott, PHARM.D.
• Scripps Clinic Medical Group
• SD Health Holdings
• SD Xray LLC

• Dental Clinic/Center in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.