Organization Active NPI

Nicholas M Gistaro DMD Apc

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1154582666
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
029282 Issued in CA
Legal business name
NICHOLAS M GISTARO DMD APC
Practice address
549 H Street
Suite a
Chula Vista, CA 91910
Phone
(619) 426-6891
Fax
(619) 426-0913
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Nicholas M. Gistaro
Title
Owner - Operator
Phone
(619) 426-6891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 029282 CA Primary

Addresses

Primary practice location

549 H Street
Suite a
Chula Vista, CA 91910

Mailing address

549 H St
Suite a
Chula Vista, CA 91910-4302
Phone (619) 426-6891

National Provider Directory

National Provider Directory

Locations

549 H St
Ste A
Chula Vista, CA 91910
Phone (619) 426-6891

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": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1154582666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 H ST",
            "address_2": "SUITE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104302",
            "telephone_number": "619-426-6891",
            "fax_number": "619-426-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 H STREET",
            "address_2": "SUITE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-426-6891",
            "fax_number": "619-426-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS M GISTARO DMD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GISTARO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER - OPERATOR",
        "authorized_official_telephone_number": "619-426-6891",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "029282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 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.