Organization Active NPI

Nicholas Jize DDS, Inc

  • Pediatric Dentistry
  • Del Mar, CA
National Provider Identifier
1306375936
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
62328 Issued in CA
Legal business name
NICHOLAS JIZE DDS, INC
Practice address
2775 Via de la Valle Ste 103
Del Mar, CA 92014-1919
Phone
(858) 227-4916
Fax
(858) 947-3287
NPI assigned
Jun 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Emma Madany
Title
Office Manager
Phone
(858) 227-4916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 62328 CA Primary

Addresses

Primary practice location

2775 Via de la Valle Ste 103
Del Mar, CA 92014-1919

Mailing address

2775 Via de la Valle Ste 103
Del Mar, CA 92014-1919
Phone (858) 227-4916

Other names 1

  • FIRST TOOTH PEDIATRIC DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

2775 Via de la Valle
Ste 103
Del Mar, CA 92014
Phone (858) 227-4916

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306375936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 VIA DE LA VALLE STE 103",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141919",
            "telephone_number": "858-227-4916",
            "fax_number": "858-947-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 VIA DE LA VALLE STE 103",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141919",
            "telephone_number": "858-227-4916",
            "fax_number": "858-947-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS JIZE DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MADANY",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-227-4916"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "62328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST TOOTH PEDIATRIC DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.