Organization Active NPI

Jack Harouni DDS Inc.

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1477023489
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JACK HAROUNI DDS INC.
Practice address
1333 Camino del Rio S Ste 202
San Diego, CA 92108-3520
Phone
(619) 260-4990
NPI assigned
Dec 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
Dr. Jack Harouni, DDSNPI 1851428411
Title
Owner/Dentist
Phone
(916) 204-6625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1333 Camino del Rio S Ste 202
San Diego, CA 92108-3520

Mailing address

815 Lake Oak CT
Sacramento, CA 95864-6153
Phone (916) 971-0142

Other practice location 1

8997 Mira Mesa Blvd
San Diego, CA 92126-2738
Phone (858) 536-5550

Other practice location 2

480 N Magnolia Ave Ste 103
El Cajon, CA 92020-3611
Phone (619) 444-6355

National Provider Directory

National Provider Directory

Locations

480 N Magnolia Ave
Ste 103
El Cajon, CA 92020
Phone (619) 444-6355

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": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1477023489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 LAKE OAK CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958646153",
            "telephone_number": "916-971-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 CAMINO DEL RIO S STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083520",
            "telephone_number": "619-260-4990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8997 Mira Mesa Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921262738",
            "country_code": "US",
            "telephone_number": "858-536-5550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 N Magnolia Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920203611",
            "country_code": "US",
            "telephone_number": "619-444-6355",
            "fax_number": "858-267-6167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACK HAROUNI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "HAROUNI",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "916-204-6625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 13, 2022; 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.