Emily Vaccarezza, DDS, Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

101468 Issued in CA

Legal business name

EMILY VACCAREZZA, DDS, INC

Practice address

2446 Fenton St Ste 102
Chula Vista, CA 91914-3516

Phone

(619) 216-1100

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Emily Marie Vaccarezza, DDSNPI 1578942942

Title

Owner

Phone

(209) 815-5244

Specialties & licenses 1

Addresses

Practitioners 1

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

• Emily Vaccarezza

  • Pediatric Dentistry
  • Chula Vista, CA
  • NPI 1578942942
  NPD Authorized official

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1255857942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 WORDEN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105704",
            "telephone_number": "209-815-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 FENTON ST STE 102",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143516",
            "telephone_number": "619-216-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY VACCAREZZA, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "VACCAREZZA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-815-5244",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "101468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Elyea, PHARM D
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• Emergency Screening Unit
• Joy Emmanuel-Cochrane, D.O.
• Emotional Healing, Licensed Clinical Social Worker, Apc
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• Mario Carrancho Encarnacion, REGISTERED NURSE
• Endoscopy Center of Chula Vista a Corporation

• Pediatric Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.