Active NPI
Deanna Risos DMD PC
- Prosthetic/Orthotic Supplier
- Chula Vista, CA
National Provider Identifier
1255732046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 50416
- Legal business name
- DEANNA RISOS DMD PC
- Practice address
- 841 Kuhn Dr Ste 102
Chula Vista, CA 91914-4523 - Phone
- (619) 482-8880
- Fax
- (619) 482-0099
- NPI assigned
- Sep 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deanna B Risos, D.M.D.
- Title
- Owner/Doctor
- Phone
- (619) 482-8880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 50416 | CA | Primary |
Addresses
Primary practice location
841 Kuhn Dr Ste 102
Chula Vista, CA 91914-4523
Mailing address
841 Kuhn Dr Ste 102
Chula Vista, CA 91914-4523
Phone (619) 482-8880
National Provider Directory
National Provider DirectoryLocations
841 Kuhn Dr
Ste 102
Chula Vista, CA 91914
Phone (619) 482-8880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410393600000",
"number": "1255732046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 KUHN DR STE 102",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919144523",
"telephone_number": "619-482-8880",
"fax_number": "619-482-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 KUHN DR STE 102",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919144523",
"telephone_number": "619-482-8880",
"fax_number": "619-482-0099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEANNA RISOS DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A",
"authorized_official_last_name": "RISOS",
"authorized_official_first_name": "DEANNA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "619-482-8880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CA",
"license": "50416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.