NPIMap

Organization Active NPI

Real Dental Corp

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1245681055
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52460 Issued in CA
Legal business name
REAL DENTAL CORP
Practice address
690 E St
Chula Vista, CA 91910-2113
Phone
(619) 425-2122
Fax
(619) 425-2125
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Dr. Luis Real, DDSNPI 1013905447
Title
President/Dentist
Phone
(619) 425-2122

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 52460 CA Primary

Addresses

Primary practice location

690 E St
Chula Vista, CA 91910-2113

Mailing address

690 E St
Chula Vista, CA 91910-2113
Phone (619) 425-2122

Other names 1

  • Real Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

690 E St
Chula Vista, CA 91910
Phone (619) 425-2122

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1245681055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102113",
            "telephone_number": "619-425-2122",
            "fax_number": "619-425-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102113",
            "telephone_number": "619-425-2122",
            "fax_number": "619-425-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "REAL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "619-425-2122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Real Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 23, 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.

Verify at the official NPI Registry.