NPIMap

Organization Active NPI

Juan Andre Gomes, D.D.S, Inc

Doing business as Dental Art Designs at EastLake

  • Dentist
  • Chula Vista, CA
National Provider Identifier
1215986278
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45863 Issued in CA
Legal business name
JUAN ANDRE GOMES, D.D.S, INC
Doing business as
Dental Art Designs at EastLake
Practice address
860 Kuhn Dr
Suite # 203
Chula Vista, CA 91914-3514
Phone
(619) 656-9393
NPI assigned
May 8, 2006
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
Dr. Juan Andre Gomes, DDSNPI 1326224098
Title
President
Phone
(619) 656-9393

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 45863 CA Primary

Addresses

Primary practice location

860 Kuhn Dr
Suite # 203
Chula Vista, CA 91914-3514

Mailing address

860 Kuhn Dr
Suite # 203
Chula Vista, CA 91914-3514
Phone (619) 656-9393

Other names 1

  • Dental Art Designs at EastLake Doing business as

National Provider Directory

National Provider Directory

Locations

860 Kuhn Dr
Ste 203
Chula Vista, CA 91914
Phone (619) 656-9393

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215986278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 KUHN DR",
            "address_2": "SUITE # 203",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143514",
            "telephone_number": "619-656-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 KUHN DR",
            "address_2": "SUITE # 203",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143514",
            "telephone_number": "619-656-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN ANDRE GOMES, D.D.S, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-656-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Art Designs at EastLake",
            "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 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.