Patrycja Stewart Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PATRYCJA STEWART DENTAL CORP

Practice address

6244 El Cajon Blvd Ste 6
San Diego, CA 92115-3918

Phone

(619) 583-2191

Fax

(619) 583-2192

NPI assigned

Jul 17, 2019

Last updated

Jul 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrycja Stewart

Title

Dentist

Phone

(619) 283-2191

Specialties & licenses 1

Addresses

Other names 1

• Patrycja Stewart Dental Corp Former legal business name

Locations

Practitioners 1

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.

• Mark Philip Haeger, DDS

  • Dentist
  • San Diego, CA
  • NPI 1073792230
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1265085443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6244 EL CAJON BLVD STE 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153918",
            "telephone_number": "619-583-2191",
            "fax_number": "619-583-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6244 EL CAJON BLVD STE 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153918",
            "telephone_number": "619-583-2191",
            "fax_number": "619-583-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRYCJA STEWART DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "PATRYCJA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-283-2191"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrycja Stewart Dental Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ranie Jade Patrick, M.S.
• Sara Patrick
• Tinisha Patrick
• Kristen Robin Patrickson, LPCC
• Jillian Patrucco
• Catherine G. Pattengill, MD
• Kimberly Patterson Hyatt
• Alohalani Patterson
• Ashlii Patterson
• Cassandra Janne Patterson

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.