NPIMap

Organization Active NPI

Danny J. Holtzclaw, DDS, a Professional Corporation

Doing business as Advanced Dental Implant Center of San Diego

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1447942693
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DANNY J. HOLTZCLAW, DDS, A PROFESSIONAL CORPORATION
Doing business as
Advanced Dental Implant Center of San Diego
Practice address
8008 Frost St Ste 300
San Diego, CA 92123-4230
Phone
(858) 292-5050
NPI assigned
May 25, 2023
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Danny Holtzclaw, DDS
Title
Owner
Phone
(858) 292-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

8008 Frost St Ste 300
San Diego, CA 92123-4230

Mailing address

8008 Frost St Ste 300
San Diego, CA 92123-4230
Phone (858) 292-5050

Other names 1

  • Advanced Dental Implant Center of San Diego Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Dental Implant Center of San Diego3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1447942693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 FROST ST STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234230",
            "telephone_number": "858-292-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 FROST ST STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234230",
            "telephone_number": "858-292-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY J. HOLTZCLAW, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "HOLTZCLAW",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-292-5050",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Implant Center of San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.