NPIMap

Organization Active NPI

Shibuya & Kint DDS Inc.

  • Dentist
  • Chula Vista, CA
National Provider Identifier
1225210669
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42835 Issued in CA
Legal business name
SHIBUYA & KINT DDS INC.
Practice address
2452 Fenton St
Suite #300
Chula Vista, CA 91914-3516
Phone
(619) 946-4133
Fax
(619) 781-8547
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Burton Kint, DDSNPI 1881746956
Title
Secretary
Phone
(619) 216-1811

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 42835 CA Primary

Addresses

Primary practice location

2452 Fenton St
Suite #300
Chula Vista, CA 91914-3516

Mailing address

2452 Fenton St
Suite #300
Chula Vista, CA 91914-3516
Phone (619) 946-4133

National Provider Directory

National Provider Directory

Locations

2452 Fenton St
Ste 300
Chula Vista, CA 91914
Phone (619) 946-4133

Practitioners & affiliated clinicians

Practitioners 2

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": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1225210669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 FENTON ST",
            "address_2": "SUITE #300",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143516",
            "telephone_number": "619-946-4133",
            "fax_number": "619-781-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 FENTON ST",
            "address_2": "SUITE #300",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143516",
            "telephone_number": "619-946-4133",
            "fax_number": "619-781-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIBUYA & KINT DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "KINT",
        "authorized_official_first_name": "BURTON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "619-216-1811",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42835",
            "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 Nov 27, 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.