Kevin Osborn D.D.S., a Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

42866 Issued in CA

Legal business name

KEVIN OSBORN D.D.S., A DENTAL CORPORATION

Practice address

2451 Jamacha Road
Sutie 104
El Cajon, CA 92019-4324

Phone

(619) 444-0500

Fax

(619) 444-2803

NPI assigned

Feb 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Osborn, D.D.S.

Title

President

Phone

(619) 444-0500

Specialties & licenses 1

Addresses

Other names 1

• Cottonwood Dental Group Doing business as

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1164762829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 JAMACHA RD",
            "address_2": "SUTIE 104",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920196319",
            "telephone_number": "619-444-0500",
            "fax_number": "619-444-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 JAMACHA ROAD",
            "address_2": "SUTIE 104",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194324",
            "telephone_number": "619-444-0500",
            "fax_number": "619-444-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN OSBORN D.D.S., A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-444-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottonwood Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerry a. Booth,D.D.S., Inc
• Wendy Elisabeth Kerry
• Deepthi Kesanapalli, M.D
• Alexa Kett
• Natalia Kettoola
• Noora Khalaf
• Ammar Khaleel
• Hasan Khalid
• Fadia Khalil
• Marcelle S Khalil, RPH

• Dentist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.