Active NPI
Bilguujin Dorjsuren
- General Practice Dentistry
- Carlsbad, CA
National Provider Identifier
1356843668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 104488
- Practice address
- 2620 El Camino Real Ste a
Carlsbad, CA 92008-1255 - Phone
- (760) 552-8834
- NPI assigned
- Mar 2, 2018
- 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 | 104488 | CA | Primary |
Addresses
Primary practice location
2620 El Camino Real Ste a
Carlsbad, CA 92008-1255
Mailing address
2620 El Camino Real Ste a
Carlsbad, CA 92008-1255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181218001134 | NY | Order and Referring Only - Dentist | 2264777341 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104488 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571529600000",
"number": "1356843668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 EL CAMINO REAL STE A",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 EL CAMINO REAL STE A",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081255",
"telephone_number": "760-552-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORJSUREN",
"first_name": "BILGUUJIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-02",
"last_updated": "2019-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "104488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.