Children's Dental Health Association of San Diego

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CHILDREN'S DENTAL HEALTH ASSOCIATION OF SAN DIEGO

Practice address

4100 Normal St
San Diego, CA 92103-2653

Phone

(619) 234-8131

Fax

(619) 234-0048

NPI assigned

Jun 20, 2007

Organization subpart

Yes

Parent organization

CHILDREN'S DENTAL HEALTH ASSOCIATION OF SAN DIEGOAs reported in NPPES

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

Authorized official

Name

Mariluci C Byrnes, DDSNPI 1861632234

Title

Director of General Dentistry

Phone

(619) 234-8131

Specialties & licenses 1

Addresses

Other names 1

• School Base Program Other name

Tax ID family

Children's Dental Health Association of San Diego2 organizations share this tax ID, including this one

Part of

Children's Dental Health Association of San Diego

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Children's Dental Health Center of San Diego

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1255453882
  NPD tax ID

Locations

Practitioners 2

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

• Mariluci C Byrnes, DDS

  • Dentist
  • San Diego, CA
  • NPI 1861632234
  NPD Authorized official
• Ariel Michelle Murray, DDS

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1740786698
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1447455381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 24TH STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022012",
            "telephone_number": "619-234-8131",
            "fax_number": "619-234-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NORMAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032653",
            "telephone_number": "619-234-8131",
            "fax_number": "619-234-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL HEALTH ASSOCIATION OF SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S DENTAL HEALTH ASSOCIATION OF SAN DIEGO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2025-09-02",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "MARILUCI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF GENERAL DENTISTRY",
        "authorized_official_telephone_number": "619-234-8131",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "School Base Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joseph Michael Childers
• Richard C Childers, M.D.
• Sara Rose Childers
• Soquel Childers
• Children of the Rainbow Inc
• Children's Dental Health Center of San Diego
• Children's Home Healthcare
• Children's Occupational Therapy Services, Inc.
• Children's Physicians Medical Group
• Children's Primary Care Medical Group, Inc.

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.