Individual provider Active NPI

Kathleen Ann Varley, D.D.S.

  • General Practice Dentistry
  • Vista, CA
National Provider Identifier
1386805695
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107361 Issued in CA
Practice address
775 Shadowridge Dr
Vista, CA 92083-7997
Phone
(760) 734-3660
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 154369 CA
General Practice Dentistry 1223G0001X 30.022809 OH
General Practice Dentistry 1223G0001X 107361 CA Primary

Addresses

Primary practice location

775 Shadowridge Dr
Vista, CA 92083-7997

Mailing address

2438 Mountain View Dr
Escondido, CA 92027-4929
Phone (614) 984-1589

Other practice location 1

314 S Melrose Dr Ste 100
Vista, CA 92081-6669
Phone (760) 500-3325

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

LicenseStateTypeSpecialty
154369CAMDMarriage & Family Therapist
107361CAMDGeneral Practice Dentistry
30.022809OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge a Urrea D.D.S. Inc. General Practice PastSince Oct 1, 2022 Accepting new patients
Wave Professional Clinical Counselors, Inc. Marriage & Family Therapist Past Accepting new patients
Joseph a. Holtz D.D.S. a Professional Dental Corporation PastSince Dec 1, 2024 Accepting new patients
Todd Brilliant DDS Inc. General Practice PastSince Dec 1, 2024 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1386805695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 MOUNTAIN VIEW DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920274929",
            "telephone_number": "614-984-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SHADOWRIDGE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920837997",
            "telephone_number": "760-734-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 S Melrose Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816669",
            "country_code": "US",
            "telephone_number": "760-500-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARLEY",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "154369",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.022809",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.