Wade and Ghorbanian DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WADE AND GHORBANIAN DDS INC.

Practice address

4428 Convoy St Ste 230
San Diego, CA 92111-3761

Phone

(858) 573-2833

NPI assigned

Mar 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Julian Anthony Wade, DDS

Title

Owner

Phone

(858) 573-2833

Specialties & licenses 1

Addresses

Other names 1

• Synergy dental group Former legal business name

Practitioners 2

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

• John Y Kim, DMD

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1306365259
  NPD
• Gee H Kim, DDS, MAGD

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1538338249
  NPD (past)

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1427798941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 CONVOY ST STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113761",
            "telephone_number": "858-573-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 CONVOY ST STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113761",
            "telephone_number": "858-573-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE AND GHORBANIAN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-573-2833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy dental group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kristine M. Wackerly
• Meghan Coleman Waclawski, BCBA
• Allison D Waczek, NP
• Yuki H Wada
• Ashley Joy Waddell, DPT
• Delila Rae Wade, RN
• Genice Marie Wade
• James Wade
• Jeremy Wade, D.M.D.
• Julian Anthony Wade, DDS

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.