Organization Active NPI

J Zeidan, DMD Inc.

  • Oral and Maxillofacial Surgery Clinic/Center
  • La Jolla, CA
National Provider Identifier
1306530951
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
J ZEIDAN, DMD INC.
Practice address
8950 Villa la Jolla Dr Ste A128
La Jolla, CA 92037-1709
Phone
(858) 452-8606
Fax
(858) 452-3610
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Joseph Zeidan, DMDNPI 1497065775
Title
President
Phone
(858) 452-8606

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

8950 Villa la Jolla Dr Ste A128
La Jolla, CA 92037-1709

Mailing address

8950 Villa la Jolla Dr Ste A128
La Jolla, CA 92037-1709
Phone (858) 452-8606

National Provider Directory

National Provider Directory

Locations

8950 Villa La Jolla Dr
Ste A128
La Jolla, CA 92037
Phone (858) 452-8606

Practitioners & affiliated clinicians

Practitioners 2

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": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1306530951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE A128",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371709",
            "telephone_number": "858-452-8606",
            "fax_number": "858-452-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE A128",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371709",
            "telephone_number": "858-452-8606",
            "fax_number": "858-452-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J ZEIDAN, DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "ZEIDAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-452-8606",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.