Travers Dental Group Incorporated

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TRAVERS DENTAL GROUP INCORPORATED

Practice address

828 Jackman St
El Cajon, CA 92020-3053

Phone

(312) 342-2299

NPI assigned

Aug 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Grace Travers, DDSNPI 1639464597

Title

Owner Dentist

Phone

(312) 342-2299

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Grace Travers, DDS

  • Dentist
  • El Cajon, CA
  • NPI 1639464597
  NPD Authorized official

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1457026015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 JACKMAN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203053",
            "telephone_number": "312-342-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 JACKMAN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203053",
            "telephone_number": "312-342-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVERS DENTAL GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "TRAVERS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "312-342-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "61514",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Tran, PHARMD
• Tu Hong Tran
• Monique M Trapasso
• Farnaz Trasandes, DNP, APRN, PMHNP-BC
• Grey Tratenberg
• Grace Travers, DDS
• Tree of Life Elder Care, Inc
• Kenia Trejo
• Prudencio Trevino III, SUDRC
• Trevor Sanks D.C.

• General Practice Dentistry in El Cajon, CA
• Providers in El Cajon, 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 Nov 16, 2021; 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.