Active NPI
Nathan James Hornsby, DDS
- Prosthodontics
- San Diego, CA
National Provider Identifier
1164611455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 58078
- Practice address
- 940 B St
San Diego, CA 92101-4609 - Phone
- (619) 544-5444
- Fax
- (619) 544-1070
- NPI assigned
- Oct 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 5-0052292 | NY | |
| Prosthodontics | 1223P0700X | 58078 | CA | Primary |
Addresses
Primary practice location
940 B St
San Diego, CA 92101-4609
Mailing address
940 B St
San Diego, CA 92101-4609
Phone (619) 544-5444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5-0052292 | NY | MD | Prosthodontist |
| 58078 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathan J Hornsby DDS Inc | Prosthodontics | Past | Accepting new patients |
| Ross and Salazar, Inc | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthodontics
- San Diego, CA
- NPI 1578793790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1164611455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 B ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921014609",
"telephone_number": "619-544-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 B ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921014609",
"telephone_number": "619-544-5444",
"fax_number": "619-544-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNSBY",
"first_name": "NATHAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-23",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "5-0052292",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "58078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 3, 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.