Individual provider Active NPI

Sean Daniels, DDS

  • Endodontics
  • San Diego, CA
National Provider Identifier
1285942532
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
45454 Issued in CA
Practice address
9750 Miramar Rd Ste 375
San Diego, CA 92126-7503
Phone
(858) 635-9569
Fax
(858) 635-6747
NPI assigned
Sep 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 45454 CA Primary

Addresses

Primary practice location

9750 Miramar Rd Ste 375
San Diego, CA 92126-7503

Mailing address

9750 Miramar Rd Ste 375
San Diego, CA 92126-7503
Phone (858) 635-9569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45454CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sean Daniels, DDS a Professional Company Endodontics CurrentSince Sep 10, 2023 Accepting new patients

Locations

9750 Miramar Rd
Ste 375
San Diego, CA 92126
Phone (858) 635-9569

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1285942532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD STE 375",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921267503",
            "telephone_number": "858-635-9569",
            "fax_number": "858-635-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD STE 375",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921267503",
            "telephone_number": "858-635-9569",
            "fax_number": "858-635-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "SEAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-21",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "45454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.