Organization Active NPI

Ross and Salazar, Inc

Doing business as Cosmetic Dentistry Center of San Diego

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1366647687
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34414 Issued in CA
Legal business name
ROSS AND SALAZAR, INC
Doing business as
Cosmetic Dentistry Center of San Diego
Practice address
702 C St
San Diego, CA 92101-5308
Phone
(619) 544-0544
NPI assigned
Jun 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bradley A. Ross, DDSNPI 1285839639
Title
President
Phone
(619) 582-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34414 CA Primary

Addresses

Primary practice location

702 C St
San Diego, CA 92101-5308

Mailing address

702 C St
San Diego, CA 92101-5308
Phone (619) 544-0544

Other names 1

  • Cosmetic Dentistry Center of San Diego Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cosmetic Dentistry Center of San Diego2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

702 C St
San Diego, CA 92101
Phone (619) 232-2225

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366647687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 C ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015308",
            "telephone_number": "619-544-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 C ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015308",
            "telephone_number": "619-544-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS AND SALAZAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-582-9700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmetic Dentistry Center of San Diego",
            "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 Aug 22, 2020; 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.