Active NPI
Jack Harouni DDS Inc.
- Dental Clinic/Center
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jack Harouni, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- El Cajon, CA
- NPI 1851428411
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.