NPIMap

Organization Active NPI

Romanowsky & Breziner la Jolla Family Smile Design Dental Group

Doing business as La Jolla Family Smile Design

  • General Practice Dentistry
  • La Jolla, CA
National Provider Identifier
1316042930
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROMANOWSKY & BREZINER LA JOLLA FAMILY SMILE DESIGN DENTAL GROUP
Doing business as
La Jolla Family Smile Design
Practice address
7817 Ivanhoe Ave
Suite 305
La Jolla, CA 92037
Phone
(858) 454-3043
Fax
(858) 454-6410
NPI assigned
Sep 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jaime J Breziner, DDSNPI 1629173257
Title
Partner
Phone
(858) 454-3043

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7817 Ivanhoe Ave
Suite 305
La Jolla, CA 92037

Mailing address

7817 Ivanhoe Ave
Suite 305
La Jolla, CA 92037
Phone (858) 454-3043

Other names 1

  • La Jolla Family Smile Design Doing business as

National Provider Directory

National Provider Directory

Locations

7817 Ivanhoe Ave
Ste 305
La Jolla, CA 92037
Phone (858) 454-3043

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316042930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 IVANHOE AVE",
            "address_2": "SUITE 305",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-454-3043",
            "fax_number": "858-454-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7817 IVANHOE AVE",
            "address_2": "SUITE 305",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-454-3043",
            "fax_number": "858-454-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMANOWSKY & BREZINER LA JOLLA FAMILY SMILE DESIGN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREZINER",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "858-454-3043",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Jolla Family Smile Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.