Organization Active NPI

Strommer Dental Corporation, P.C.

  • Dentist
  • San Diego, CA
National Provider Identifier
1376088955
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39334 Issued in CA
Legal business name
STROMMER DENTAL CORPORATION, P.C.
Practice address
7892 Civita Blvd
San Diego, CA 92108-5123
Phone
(619) 993-5078
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Dr. Leslie S Strommer, DDS
Title
Owner/Dentist
Phone
(619) 993-5078

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 39334 CA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 39339 CA

Addresses

Primary practice location

7892 Civita Blvd
San Diego, CA 92108-5123

Mailing address

1012 Isabella Ave
Suite 203
Coronado, CA 92118-2820
Phone (619) 993-5078

National Provider Directory

National Provider Directory

Locations

1012 Isabella Ave
Ste 203
Coronado, CA 92118

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1376088955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 ISABELLA AVE",
            "address_2": "SUITE 203",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182820",
            "telephone_number": "619-993-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7892 CIVITA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085123",
            "telephone_number": "619-993-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROMMER DENTAL CORPORATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "STROMMER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "619-993-5078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39334",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 5, 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.