Philip G. Menna, D.D.S., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21613 Issued in CA

Legal business name

PHILIP G. MENNA, D.D.S., INC

Practice address

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

Phone

(619) 220-7000

NPI assigned

Mar 25, 2011

Organization subpart

No

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

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Philip G. Menna

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1366877953
  NPPES parent name

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1396044616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 PARK BLVD STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032600",
            "telephone_number": "619-220-7000"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP G. MENNA, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "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 SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 Mar 25, 2011; 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.