NPIMap

Organization Active NPI

Silver Creek Dental Partners

  • Dental Clinic/Center
  • Chula Vista, CA
National Provider Identifier
1194572198
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SILVER CREEK DENTAL PARTNERS
Practice address
890 Eastlake Pkwy Ste 201
Chula Vista, CA 91914-4521
Phone
(619) 421-2828
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Mrs. Barbara Marra
Title
VP
Phone
(949) 545-8847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

890 Eastlake Pkwy Ste 201
Chula Vista, CA 91914-4521

Mailing address

23911 Danzig Bay
Dana Point, CA 92629-4407
Phone (949) 545-8847

Other names 1

  • Eastlake Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1194572198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23911 DANZIG BAY",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294407",
            "telephone_number": "949-545-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 EASTLAKE PKWY STE 201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144521",
            "telephone_number": "619-421-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK DENTAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "MARRA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "949-545-8847",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastlake Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 6, 2024; 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.