Organization Active NPI

Englund Dental Corp

  • General Practice Dentistry
  • La Jolla, CA
National Provider Identifier
1437856770
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ENGLUND DENTAL CORP
Doing business as
Englund Dental Corp
Practice address
4130 La Jolla Village Dr Ste 202
La Jolla, CA 92037-1480
Phone
(206) 919-7348
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Dr. Bethany Faith Englund, DDSNPI 1982084273
Title
Dentist
Phone
(206) 919-7348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4130 La Jolla Village Dr Ste 202
La Jolla, CA 92037-1480

Mailing address

5011 Niagara Ave
San Diego, CA 92107-3011
Phone (206) 919-7348

Other names 1

  • Englund Dental Corp Doing business as

National Provider Directory

National Provider Directory

Locations

4130 La Jolla Village Dr
Ste 202
La Jolla, CA 92037
Phone (206) 919-7348

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": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1437856770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 NIAGARA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073011",
            "telephone_number": "206-919-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 LA JOLLA VILLAGE DR STE 202",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371480",
            "telephone_number": "206-919-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLUND DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "ENGLUND",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-919-7348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Englund Dental Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.