NPIMap

Organization Active NPI

Gentle Care Family Dentistry, Elvie C. Nathanson D.M.D., Inc.

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1215102124
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49158 Issued in CA
Legal business name
GENTLE CARE FAMILY DENTISTRY, ELVIE C. NATHANSON D.M.D., INC.
Practice address
340 4TH Ave.
Suite 16
Chula Vista, CA 91910-3896
Phone
(619) 420-1144
Fax
(619) 420-2373
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Elvie Cervas NathansonNPI 1740205525
Title
President
Phone
(619) 420-1144

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49158 CA Primary

Addresses

Primary practice location

340 4TH Ave.
Suite 16
Chula Vista, CA 91910-3896

Mailing address

340 4TH Ave.
Suite 16
Chula Vista, CA 91910-3896
Phone (619) 420-1144

National Provider Directory

National Provider Directory

Locations

340 Fourth Ave
Ste 16
Chula Vista, CA 91910
Phone (619) 420-1144

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1215102124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 4TH AVE.",
            "address_2": "SUITE 16",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103896",
            "telephone_number": "619-420-1144",
            "fax_number": "619-420-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 4TH AVE.",
            "address_2": "SUITE 16",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103896",
            "telephone_number": "619-420-1144",
            "fax_number": "619-420-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARE FAMILY DENTISTRY, ELVIE C. NATHANSON D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "NATHANSON",
        "authorized_official_first_name": "ELVIE",
        "authorized_official_middle_name": "CERVAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-420-1144",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49158",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 23, 2008; 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.