NPIMap

Organization Active NPI

S. David Rahnejat

  • Endodontics
  • El Cajon, CA
National Provider Identifier
1407080344
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
44066 Issued in CA
Legal business name
S. DAVID RAHNEJAT
Practice address
254 Avocado Ave
El Cajon, CA 92020-4604
Phone
(619) 440-6126
Fax
(619) 440-4878
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Dr. S. David Rahnejat, D.D.S.
Title
Owner
Phone
(619) 440-6126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 44066 CA Primary

Addresses

Primary practice location

254 Avocado Ave
El Cajon, CA 92020-4604

Mailing address

254 Avocado Ave
El Cajon, CA 92020-4604
Phone (619) 440-6126

National Provider Directory

National Provider Directory

Locations

254 Avocado Ave
El Cajon, CA 92020
Phone (619) 315-3792

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1407080344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 AVOCADO AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204604",
            "telephone_number": "619-440-6126",
            "fax_number": "619-440-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 AVOCADO AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204604",
            "telephone_number": "619-440-6126",
            "fax_number": "619-440-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. DAVID RAHNEJAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "RAHNEJAT",
        "authorized_official_first_name": "S. DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-440-6126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "44066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.