NPIMap

Organization Active NPI

Dr'S Eckstein, Oleksy & Gile

  • Oral and Maxillofacial Surgery (Dentist)
  • San Diego, CA
National Provider Identifier
1336659747
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DR'S ECKSTEIN, OLEKSY & GILE
Doing business as
Center for Oral & Facial Surgery
Practice address
306 Walnut Ave Ste 26
San Diego, CA 92103-4980
Phone
(619) 588-4011
Fax
(619) 588-4011
NPI assigned
Oct 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Dr. James Eckstein, DDS,MDNPI 1073605788
Title
Owner/Partner
Phone
(619) 588-4011

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

306 Walnut Ave Ste 26
San Diego, CA 92103-4980

Mailing address

306 Walnut Ave Ste 26
San Diego, CA 92103-4980
Phone (619) 588-4011

Other names 1

  • Center for Oral & Facial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

306 Walnut Ave
Ste 26
San Diego, CA 92103
Phone (619) 299-3320

Practitioners & affiliated clinicians

Practitioners 6

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": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1336659747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WALNUT AVE STE 26",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034980",
            "telephone_number": "619-588-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WALNUT AVE STE 26",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034980",
            "telephone_number": "619-588-4011",
            "fax_number": "619-588-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR'S ECKSTEIN, OLEKSY & GILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "ECKSTEIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "619-588-4011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 11, 2017; 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.