Jenna Khoury DMD Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

60986 Issued in CA

Legal business name

JENNA KHOURY DMD INC

Practice address

7720 Rancho Santa Fe Rd
Suite D
Carlsbad, CA 92009

Phone

(760) 889-5995

NPI assigned

Oct 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jenna Majeed Khoury, DMD

Title

Ceo

Phone

(760) 889-5995

Specialties & licenses 1

Addresses

Other names 1

• The Brush Stop Other name

Locations

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1467857706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 CHERT DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782822",
            "telephone_number": "858-335-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 RANCHO SANTA FE RD",
            "address_2": "SUITE D",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92009",
            "telephone_number": "760-889-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA KHOURY DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "MAJEED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-889-5995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "60986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brush Stop",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jefferey Raunig MD Inc
• Collin Jefferson
• Jana Michele Jeltema, CCC-SLP
• Melissa McKeown Jenkins, PH.D.
• Wendalyn Denise Jenkins
• Jonathan Jenness, OD
• Cheryl Lynn Jennett, M.D
• Bryonna Maria Jennings
• Tiffany Jennings
• Jenny Ellingsen Dba Genesis Group

• Pediatric Dentistry in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.