Organization Active NPI

Chilmeran Dental Corporation

  • Dentist
  • San Diego, CA
National Provider Identifier
1457056665
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHILMERAN DENTAL CORPORATION
Practice address
575 Camino de la Reina Ste 100
San Diego, CA 92108-3386
Phone
(619) 573-4889
Fax
(619) 573-9359
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Sarah Muna Chilmeran
Title
Owner/DDS
Phone
(619) 573-4889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

575 Camino de la Reina Ste 100
San Diego, CA 92108-3386

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Other names 1

  • DENTISTS OF MISSION VALLEY Doing business as

National Provider Directory

National Provider Directory

Locations

575 Camino de la Reina
Ste 100
San Diego, CA 92108
Phone (619) 573-4889

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": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1457056665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 CAMINO DE LA REINA STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083386",
            "telephone_number": "619-573-4889",
            "fax_number": "619-573-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILMERAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "CHILMERAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MUNA",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "619-573-4889"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTISTS OF MISSION VALLEY",
            "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 Apr 5, 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.