Philip G. Menna

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21613 Issued in CA

Legal business name

PHILIP G. MENNA

Practice address

4002 Park Blvd Ste D
San Diego, CA 92103-2600

Phone

(619) 220-7000

Fax

(619) 220-7010

NPI assigned

Sep 13, 2013

Organization subpart

Yes

Parent organization

PHILIP G. MENNA, D.D.S.As reported in NPPES

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

Authorized official

Name

Dr. Philip G Menna, D.D.S.

Title

Dentist

Phone

(619) 220-7000

Specialties & licenses 1

Addresses

Part of

Philip G Menna

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Philip G. Menna, D.D.S., Inc

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1396044616
  NPPES parent name

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1366877953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33838",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633838",
            "telephone_number": "619-220-7000",
            "fax_number": "619-220-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 PARK BLVD STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032600",
            "telephone_number": "619-220-7000",
            "fax_number": "619-220-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP G. MENNA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHILIP G. MENNA, D.D.S.",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "MENNA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-220-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Philbin, PT, DPT
• Sandy Paloma Philbin, MSW
• Megan Margaret Philbrick, AGACNP
• Philip Azer, M.D., a Professional Corporation
• Philip B Smith OD, Apc
• Philip G. Menna, D.D.S., Inc
• Philip J Krueger MD Inc
• Aerin Mathew Philip, MD
• Thomas Philip, PHARMD
• Taylor Ashley Philips, LCSW

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.