NPIMap

Organization Active NPI

Platinum Dental, Inc

  • General Practice Dentistry
  • San Marcos, CA
National Provider Identifier
1255623823
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44585 Issued in CA
Legal business name
PLATINUM DENTAL, INC
Practice address
555 S Rancho Santa Fe Rd
Suite 100
San Marcos, CA 92078-3698
Phone
(760) 510-9009
Fax
(760) 510-8008
NPI assigned
May 13, 2011
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Dr. Sonny V Eslampour, DDSNPI 1831254671
Title
Dentist
Phone
(760) 510-9009

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 44585 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 44045 CA

Addresses

Primary practice location

555 S Rancho Santa Fe Rd
Suite 100
San Marcos, CA 92078-3698

Mailing address

555 S Rancho Santa Fe Rd
Suite 100
San Marcos, CA 92078-3698
Phone (760) 510-9009

National Provider Directory

National Provider Directory

Locations

555 S Rancho Santa Fe Rd
Ste 100
San Marcos, CA 92078
Phone (760) 510-9009

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": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1255623823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S RANCHO SANTA FE RD",
            "address_2": "SUITE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920783698",
            "telephone_number": "760-510-9009",
            "fax_number": "760-510-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S RANCHO SANTA FE RD",
            "address_2": "SUITE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920783698",
            "telephone_number": "760-510-9009",
            "fax_number": "760-510-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "ESLAMPOUR",
        "authorized_official_first_name": "SONNY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "760-510-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44585",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 13, 2011; 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.