Integrated Dental Specialties, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

47626 Issued in CA

Legal business name

INTEGRATED DENTAL SPECIALTIES, INC

Practice address

1356 W Valley Pkwy
Suite J
Escondido, CA 92029-2138

Phone

(760) 233-5887

NPI assigned

Jul 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Andy Trong Hoang, D.D.S.

Title

President

Phone

(714) 943-5364

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David Lyman Nelson, D.D.S.

  • Pediatric Dentistry
  • San Diego, CA
  • NPI 1073833844
  NPD (past)

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1184912339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26273 PALM TREE LN",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637302",
            "telephone_number": "760-233-2260",
            "fax_number": "760-233-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 W VALLEY PKWY",
            "address_2": "SUITE J",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920292138",
            "telephone_number": "760-233-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DENTAL SPECIALTIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "TRONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-943-5364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Escondido, CA
• Providers in Escondido, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.