Oceanside Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OCEANSIDE DENTAL GROUP

Practice address

709 Seagaze Drive
Oceanside, CA 92054

Phone

(760) 722-0144

Fax

(760) 722-5078

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kellen Tadano, DDS

Title

General Partner

Phone

(760) 722-0144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447322383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 SEAGAZE DRIVE",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92054",
            "telephone_number": "760-722-0144",
            "fax_number": "760-722-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 SEAGAZE DRIVE",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92054",
            "telephone_number": "760-722-0144",
            "fax_number": "760-722-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TADANO",
        "authorized_official_first_name": "KELLEN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "760-722-0144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Lyn Vasquez Ocan, MSN, APRN, FNP
• Occupational Health Centers of California, a Medical Corporation
• Ocean Breeze Retirement Villa
• Ocean Ranch Dentistry
• Oceanside Blvd Chiropractic
• Oceanside Diagnostics LLC
• Oceanside Foot & Ankle Center Inc.
• Oceanside Healthcare Staffing, Inc.
• Oceanside Physical Medicine, Inc.
• Oceanside Physical Therapy P C

• General Practice Dentistry in Oceanside, CA
• Providers in Oceanside, 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 Aug 22, 2020; 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.