Organization Active NPI

Toma&Petros DDS Inc

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1194885608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47154 Issued in CA
Legal business name
TOMA&PETROS DDS INC
Practice address
3530 Camino del Rio N
Suit 109
San Diego, CA 92108-1743
Phone
(619) 283-2093
Fax
(619) 283-0803
NPI assigned
Dec 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dhafir J Petros, DDS
Title
Dentist
Phone
(619) 283-2093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 47154 CA Primary

Addresses

Primary practice location

3530 Camino del Rio N
Suit 109
San Diego, CA 92108-1743

Mailing address

3530 Camino del Rio N
Suit 109
San Diego, CA 92108-1743
Phone (619) 283-2093

Other identifiers 1

IdentifierTypeStateIssuer
47154OtherCADENTIST

National Provider Directory

National Provider Directory
Tax ID family
Toma Petros DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194885608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 CAMINO DEL RIO N",
            "address_2": "SUIT 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081743",
            "telephone_number": "619-283-2093",
            "fax_number": "619-283-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 CAMINO DEL RIO N",
            "address_2": "SUIT 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081743",
            "telephone_number": "619-283-2093",
            "fax_number": "619-283-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMA&PETROS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETROS",
        "authorized_official_first_name": "DHAFIR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-283-2093",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "47154",
            "state": "CA"
        }
    ],
    "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 Aug 22, 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.

Verify at the official NPI Registry.