Active NPI
Davey Dental Corp
Doing business as Del Sur Ranch Dental
- Dentist
- San Diego, CA
National Provider Identifier
1225496524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47608
- Legal business name
- DAVEY DENTAL CORP
- Doing business as
- Del Sur Ranch Dental
- Practice address
- 16460 Paseo del Sur
Suite 105
San Diego, CA 92127 - Phone
- (858) 759-2700
- NPI assigned
- Feb 2, 2016
- Last updated
- Feb 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Davey, DDS
- Title
- Dentist
- Phone
- 85857592700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47608 | CA | Primary |
Addresses
Primary practice location
16460 Paseo del Sur
Suite 105
San Diego, CA 92127
Mailing address
16460 Paseo del Sur
Suite 105
San Diego, CA 92127
Phone (858) 759-2700
Other names 1
- Del Sur Ranch Dental
National Provider Directory
National Provider Directory- Tax ID family
- Davey Dental Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
16460 Paseo del Sur
Ste 105
San Diego, CA 92127
Phone (858) 759-2700
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.
-
- Dentist
- Aurora, CO
- NPI 1376795583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454371200000",
"number": "1225496524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16460 PASEO DEL SUR",
"address_2": "SUITE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92127",
"telephone_number": "858-759-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16460 PASEO DEL SUR",
"address_2": "SUITE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92127",
"telephone_number": "858-759-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVEY DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-02",
"last_updated": "2016-02-02",
"status": "A",
"authorized_official_last_name": "DAVEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "85857592700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "47608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Del Sur Ranch Dental",
"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 Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.