Kathrina Agatep DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51540 Issued in CA

Legal business name

KATHRINA AGATEP DDS, PC

Practice address

9540 Waples St
Suite a
San Diego, CA 92121-2970

Phone

(858) 490-4281

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kathrina AgatepNPI 1407976608

Title

Ceo

Phone

(858) 490-4281

Specialties & licenses 1

Addresses

Other names 1

• Dental Design SD Doing business as

Locations

Practitioners 3

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

• Kathrina Agatep, DDS

  • Dentist
  • San Diego, CA
  • NPI 1407976608
  NPD (past) Authorized official
• Mimi T Tran, DDS

  • Dentist
  • Poway, CA
  • NPI 1053710699
  NPD (past)
• Lillian Wang, DMD, MPH

  • Dentist
  • San Diego, CA
  • NPI 1407471030

  General Practice

  NPD (past)

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1306388418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9540 WAPLES ST",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212970",
            "telephone_number": "858-490-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9540 WAPLES ST",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212970",
            "telephone_number": "858-490-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRINA AGATEP DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "AGATEP",
        "authorized_official_first_name": "KATHRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-490-4281",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Design SD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katharine Hicks Therapy
• Anup Katheria, M.D.
• Katherine C Tan DMD Inc
• Sulakshandan Kathireson, DC
• Kathleen J. Grace RPT Apc
• Kathryn de Bruin Family Therapy and Training Inc.
• Kathryn Johnson
• David Jonathan Katibian, MD
• Sarah Joelle Katje
• William Michael Katkov, LCSW

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.