Booth & Williams Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

34933 Issued in CA

Legal business name

BOOTH & WILLIAMS DENTAL CORP

Doing business as

Uptown Dental Designs

Practice address

3703 4TH Ave
San Diego, CA 92103

Phone

(619) 546-0488

Fax

(619) 795-3419

NPI assigned

Sep 7, 2006

Last updated

Nov 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alice Mary Booth, DDS

Title

Dentist

Phone

(619) 546-0488

Specialties & licenses 2

Addresses

Other names 1

• Uptown Dental Designs Doing business as

Locations

Practitioners 1

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.

• Craig Matthew Schindler, DDS

  • Dentist
  • San Diego, CA
  • NPI 1568555639
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1336242718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-546-0488",
            "fax_number": "619-795-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-546-0488",
            "fax_number": "619-795-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTH & WILLIAMS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-546-0488",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "34933",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "23400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptown Dental Designs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Dylan Boone, DO
• NA Kyal Boone
• Theresa Boone, L.AC.
• Victoria Boone
• Breanne Booren, IBCLC
• Christopher Robert Booth, PSYD
• Derek Booth, DO
• Halee Marie Booth, PA-C
• Kenneth Booth
• Lakota Booth

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.