Organization Active NPI

Jared Bunker DMD Apc

Doing business as Carmel Mountain Dentistry

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1215355847
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58435 Issued in CA
Legal business name
JARED BUNKER DMD APC
Doing business as
Carmel Mountain Dentistry
Practice address
10175 Rancho Carmel Dr
126
San Diego, CA 92128-3675
Phone
(858) 675-9055
NPI assigned
Apr 1, 2014
Last updated
Apr 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Dr. Jared B Bunker, DMDNPI 1851689913
Title
Owner
Phone
(858) 877-0336

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 Dentistry 1223G0001X 58435 CA Primary

Addresses

Primary practice location

10175 Rancho Carmel Dr
126
San Diego, CA 92128-3675

Mailing address

10175 Rancho Carmel Dr
126
San Diego, CA 92128-3675
Phone (858) 675-9055

Other names 1

  • Carmel Mountain Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

10175 Rancho Carmel Dr
Ste 126
San Diego, CA 92128
Phone (858) 675-9055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1215355847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 RANCHO CARMEL DR",
            "address_2": "126",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283675",
            "telephone_number": "858-675-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 RANCHO CARMEL DR",
            "address_2": "126",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283675",
            "telephone_number": "858-675-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED BUNKER DMD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "BUNKER",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-877-0336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmel Mountain Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 1, 2014; 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.