Hoss/Keri KM Dental Group, a Professional Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

42542 Issued in CA

Legal business name

HOSS/KERI KM DENTAL GROUP, A PROFESSIONAL CORPORATION

Practice address

9737 Aero Drive Ste 210
San Diego, CA 92123

Phone

(619) 636-2665

NPI assigned

Aug 16, 2017

Organization subpart

No

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

Authorized official

Name

Laura Flores

Title

Manager

Phone

(619) 961-9867

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittany Koncz, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Diego, CA
  • NPI 1144549833
  NPD (past)

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235655788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 AERO DR STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231854",
            "telephone_number": "619-636-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9737 AERO DRIVE STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "619-636-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSS/KERI KM DENTAL GROUP, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-961-9867"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "42542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Ann Hoskinson
• Hospice de la Frontera
• Hospice of the South Coast, LLC
• Hoss KM Dental Group, a Professional Group
• Hoss/Keri CMV Dental Group, a Professional Corporation
• Hossain a Ronaghy MD Inc
• Mashfik Hossain
• Maya Hossaini, MSW
• Hossein Samadi MD PC
• Mojgan Hosseini-Varnamkhasti, MD

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.