NPIMap

Organization Active NPI

Dr. Ted a Wassel, DDS, Inc.

  • Dentist
  • San Marcos, CA
National Provider Identifier
1255346698
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40040 Issued in CA
Legal business name
DR. TED A WASSEL, DDS, INC.
Practice address
1030 La Bonita Drive
Suite 322
San Marcos, CA 92078
Phone
(760) 744-1919
Fax
(760) 744-4625
NPI assigned
Jul 31, 2006
Last updated
Jul 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Ted Albers Wassel, DDSNPI 1952608291
Title
President/Owner/Dentist
Phone
(760) 744-1320

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
Dentist 122300000X 40040 CA Primary

Addresses

Primary practice location

1030 La Bonita Drive
Suite 322
San Marcos, CA 92078

Mailing address

1030 La Bonita Drive
Suite 322
San Marcos, CA 92078
Phone (760) 744-1919

Other names 1

  • Ted A Wassel, DDS, Inc Other name

National Provider Directory

National Provider Directory

Locations

1030 La Bonita Dr
Ste 322
San Marcos, CA 92078
Phone (760) 744-1919

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1255346698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 LA BONITA DRIVE",
            "address_2": "SUITE 322",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "92078",
            "telephone_number": "760-744-1919",
            "fax_number": "760-744-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 LA BONITA DRIVE",
            "address_2": "SUITE 322",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "92078",
            "telephone_number": "760-744-1919",
            "fax_number": "760-744-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TED A WASSEL, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "WASSEL",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "ALBERS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/DENTIST",
        "authorized_official_telephone_number": "760-744-1320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ted A Wassel, DDS, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.