Medina Roberts Eades, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37013 Issued in CA

Practice address

27545 Valley Center Rd
Valley Center, CA 92082-6538

Phone

(760) 749-8824

Fax

(760) 749-8828

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• K Brown Dental Corp

  • Dental Clinic/Center
  • Valley Center, CA
  • NPI 1821727918
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225100464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092 ASPEN CT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920785424",
            "telephone_number": "760-598-6431",
            "fax_number": "760-749-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27545 VALLEY CENTER RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826538",
            "telephone_number": "760-749-8824",
            "fax_number": "760-749-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADES",
        "first_name": "MEDINA",
        "middle_name": "ROBERTS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Ann Dexter, PH.D.
• Karen Dixon
• Dr McHale'S Valley Center Dental Group Apc
• Stanley Allen Drury, M.D.
• Thomas J Dwyer, MD
• El Norte Home Care Co
• El Norte Home Care Co.
• Erynne Veda Ambrosio Estoesta, RDH
• Michelle Everding
• Excelencia Behavioral Therapy

• General Practice Dentistry in Valley Center, CA
• Providers in Valley Center, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.