NPIMap

Organization Active NPI

Daniel Tevrizian, D.D.S., Inc.

  • General Practice Dentistry
  • San Marcos, CA
National Provider Identifier
1285725101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24184 Issued in CA
Legal business name
DANIEL TEVRIZIAN, D.D.S., INC.
Practice address
1 Civic Center Dr
Suite 110
San Marcos, CA 92069-2918
Phone
(760) 752-1430
Fax
(760) 752-1598
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel Tevrizian, D.D.S.NPI 1003069568
Title
President Doctor
Phone
(760) 752-1430

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24184 CA Primary

Addresses

Primary practice location

1 Civic Center Dr
Suite 110
San Marcos, CA 92069-2918

Mailing address

1 Civic Center Dr
Suite 110
San Marcos, CA 92069-2918
Phone (760) 752-1430

National Provider Directory

National Provider Directory

Locations

1 Civic Center Dr
Ste 110
San Marcos, CA 92069
Phone (760) 752-1430

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285725101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CIVIC CENTER DR",
            "address_2": "SUITE 110",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692918",
            "telephone_number": "760-752-1430",
            "fax_number": "760-752-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CIVIC CENTER DR",
            "address_2": "SUITE 110",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692918",
            "telephone_number": "760-752-1430",
            "fax_number": "760-752-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL TEVRIZIAN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEVRIZIAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT DOCTOR",
        "authorized_official_telephone_number": "760-752-1430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24184",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.