Organization Active NPI

Deanna Risos DMD PC

  • Prosthetic/Orthotic Supplier
  • Chula Vista, CA
National Provider Identifier
1255732046
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
50416 Issued in CA
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

Updated by the provider on Sep 11, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.