Organization Active NPI

Nazli Keri DDS Apc

  • Pediatric Dentistry
  • Chula Vista, CA
National Provider Identifier
1285834796
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D42542 Issued in CA
Legal business name
NAZLI KERI DDS APC
Practice address
345 F St
Ste 260
Chula Vista, CA 91910
Phone
(619) 585-8500
Fax
(619) 216-2084
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Nazli Keri, DDS
Title
Owner/DDS
Phone
(619) 585-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X D42542 CA Primary

Addresses

Primary practice location

345 F St
Ste 260
Chula Vista, CA 91910

Mailing address

345 F St
Ste 260
Chula Vista, CA 91910
Phone (619) 585-8500

Other identifiers 2

IdentifierTypeStateIssuer
G91978-02OtherCTDELTA DENTAL HEALTHY FAMI
G91978-01OtherCADENTI-CAL

National Provider Directory

National Provider Directory

Locations

345 F St
Ste 260
Chula Vista, CA 91910
Phone (619) 336-8478

Practitioners & affiliated clinicians

Practitioners 1

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": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1285834796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 F ST",
            "address_2": "STE 260",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-585-8500",
            "fax_number": "619-216-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 F ST",
            "address_2": "STE 260",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-585-8500",
            "fax_number": "619-216-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZLI KERI DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "KERI",
        "authorized_official_first_name": "NAZLI",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "619-585-8500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "D42542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL HEALTHY FAMI",
            "identifier": "G91978-02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G91978-01",
            "state": "CA"
        }
    ],
    "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 Feb 26, 2015; 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.