Organization Active NPI

Scripps Ranch Dental

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1306539333
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SCRIPPS RANCH DENTAL
Practice address
10549 Scripps Poway Parkway #1
San Diego, CA 92131
Phone
(858) 225-1212
Fax
(858) 201-6060
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Rafik Riad, DDS
Title
Owner
Phone
(858) 225-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10549 Scripps Poway Parkway #1
San Diego, CA 92131

Mailing address

10549 Scripps Poway Parkway #1
San Diego, CA 92131
Phone (858) 225-1212

National Provider Directory

National Provider Directory

Locations

10549 Scripps Poway Pkwy
#1
San Diego, CA 92131
Phone (858) 225-1212

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1306539333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10549 SCRIPPS POWAY PARKWAY #1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92131",
            "telephone_number": "858-225-1212",
            "fax_number": "858-201-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10549 SCRIPPS POWAY PARKWAY #1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92131",
            "telephone_number": "858-225-1212",
            "fax_number": "858-201-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPPS RANCH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "RIAD",
        "authorized_official_first_name": "RAFIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-225-1212",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 May 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.