Organization Active NPI

Cluff Dental Corporation

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1184199705
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CLUFF DENTAL CORPORATION
Practice address
232 Third Ave
Chula Vista, CA 91910-2711
Phone
(619) 827-0770
Fax
(619) 827-0774
NPI assigned
Oct 10, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Ana I Cluff, DDSNPI 1598960676
Title
Dr./Owner
Phone
(619) 827-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

232 Third Ave
Chula Vista, CA 91910
Phone (619) 827-0770

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

Primary practice location

232 Third Ave
Chula Vista, CA 91910-2711

Mailing address

232 Third Ave
Chula Vista, CA 91910-2711
Phone (619) 827-0770

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1598960676MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2018.

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1184199705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 THIRD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102711",
            "telephone_number": "619-827-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 THIRD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102711",
            "telephone_number": "619-827-0770",
            "fax_number": "619-827-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUFF DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "CLUFF",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DR./OWNER",
        "authorized_official_telephone_number": "619-827-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598960676",
            "state": "CA"
        }
    ],
    "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 Oct 10, 2018; 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.