Organization Active NPI

Charles D Schlesinger Dental Corporation

  • Dentist
  • San Diego, CA
National Provider Identifier
1154577443
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45523 Issued in CA
Legal business name
CHARLES D SCHLESINGER DENTAL CORPORATION
Practice address
9484 Black Mountain Rd Ste E
San Diego, CA 92126-4520
Phone
(858) 271-9393
Fax
(858) 271-9696
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Charles Schlesinger, DDS
Title
Dentist/Owner
Phone
(858) 271-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 45523 CA Primary

Addresses

Primary practice location

9484 Black Mountain Rd Ste E
San Diego, CA 92126-4520

Mailing address

9484 Black Mountain Rd Ste E
San Diego, CA 92126-4520
Phone (858) 271-9393

Other names 1

  • Black Mountain Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9484 Black Mountain Rd
Ste E
San Diego, CA 92126
Phone (858) 271-9393

Practitioners & affiliated clinicians

Practitioners 1

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": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1154577443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9484 BLACK MOUNTAIN RD STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264520",
            "telephone_number": "858-271-9393",
            "fax_number": "858-271-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9484 BLACK MOUNTAIN RD STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264520",
            "telephone_number": "858-271-9393",
            "fax_number": "858-271-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES D SCHLESINGER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "SCHLESINGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "858-271-9393",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Mountain Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.