Active NPI
Faith-Roselle Roy Barreyro, DMD
- General Practice Dentistry
- La Jolla, CA
National Provider Identifier
1336709674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 103765
- Practice address
- 4130 La Jolla Village Dr Ste 105
La Jolla, CA 92037-1480 - Phone
- (858) 455-7777
- NPI assigned
- Jun 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 103765 | CA | Primary |
Addresses
Primary practice location
4130 La Jolla Village Dr Ste 105
La Jolla, CA 92037-1480
Mailing address
8826 Pagoda Way
San Diego, CA 92126-3322
Phone (858) 218-5188
Other practice location 1
1530 Hilton Head Rd Ste 111
El Cajon, CA 92019-4655
Phone (619) 441-8000
Other practice location 2
2260 Otay Lakes Rd Ste 110
Chula Vista, CA 91915-1007
Phone (619) 482-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103765 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel Hayatt DMD Inc. | Past | Accepting new patients | |
| Faith Barreyro, DMD, Inc. | Past | Accepting new patients | |
| Samuel Hayatt DMD, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- San Diego, CA
- NPI 1679193858
-
- Dentist
- Chula Vista, CA
- NPI 1851665871
-
- General Practice Dentistry
- El Cajon, CA
- NPI 1407273139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1336709674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8826 PAGODA WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921263322",
"telephone_number": "858-218-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 LA JOLLA VILLAGE DR STE 105",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371480",
"telephone_number": "858-455-7777"
}
],
"practiceLocations": [
{
"address_1": "1530 Hilton Head Rd Ste 111",
"address_purpose": "LOCATION",
"city": "El Cajon",
"state": "CA",
"postal_code": "920194655",
"country_code": "US",
"telephone_number": "619-441-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2260 Otay Lakes Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919151007",
"country_code": "US",
"telephone_number": "619-482-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARREYRO",
"first_name": "FAITH-ROSELLE",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "103765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.