Active NPI
David Gordon Lockwood, D.D.S.
- Dentist
- San Diego, CA
National Provider Identifier
1235574468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29964
- Practice address
- 3737 Moraga Ave Ste B414
San Diego, CA 92117-5362 - Phone
- (858) 272-5550
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29964 | CA | Primary |
Addresses
Primary practice location
3737 Moraga Ave Ste B414
San Diego, CA 92117-5362
Mailing address
3737 Moraga Ave Ste B414
San Diego, CA 92117-5362
Phone (858) 272-5550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29964 | CA | MD | Group Psychotherapy Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1235574468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 MORAGA AVE STE B414",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921175362",
"telephone_number": "858-272-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 MORAGA AVE STE B414",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921175362",
"telephone_number": "858-272-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKWOOD",
"first_name": "DAVID",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "29964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.