Individual provider Active NPI

Jeffry S Kerbs, DDS

  • Dentist
  • Escondido, CA
National Provider Identifier
1316372733
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
031937 Issued in CA
Practice address
240 S Hickory St
Suite 207
Escondido, CA 92025-4355
Phone
(760) 746-3663
Fax
(760) 746-4069
NPI assigned
Sep 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 031937 CA Primary

Addresses

Primary practice location

240 S Hickory St
Suite 207
Escondido, CA 92025-4355

Mailing address

240 S Hickory St
Suite 207
Escondido, CA 92025-4355
Phone (760) 746-3663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140102000797 CA Practitioner - Oral Surgery 3072748672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031937CAMDDentist
31937CAMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1316372733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S HICKORY ST",
            "address_2": "SUITE 207",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254355",
            "telephone_number": "760-746-3663",
            "fax_number": "760-746-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S HICKORY ST",
            "address_2": "SUITE 207",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254355",
            "telephone_number": "760-746-3663",
            "fax_number": "760-746-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBS",
        "first_name": "JEFFRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "031937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.