SCDP del Sur Ranch

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SCDP DEL SUR RANCH

Practice address

16460 Paseo del Sur Ste 105
San Diego, CA 92127-4165

Phone

(858) 759-2700

NPI assigned

Aug 24, 2021

Organization subpart

Yes

Parent organization

SILVER CREEK DENTAL PARTNERSAs reported in NPPES

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

Authorized official

Name

Brad Starkweather

Title

Manager

Phone

(650) 922-0897

Specialties & licenses 1

Addresses

Other names 1

• Silver Creek Dental Partners Other name

Part of

Silver Creek Dental Partners

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Silver Creek Dental Partners

  • Dental Clinic/Center
  • Chula Vista, CA
  • NPI 1194572198
  NPPES parent name

Practitioners 1

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

• Jennifer Leigh Morris, DDS

  • Dentist
  • Aurora, CO
  • NPI 1376795583
  NPD (past)

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1477220960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23911 DANZIG BAY",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294407",
            "telephone_number": "650-922-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16460 PASEO DEL SUR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274165",
            "telephone_number": "858-759-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCDP DEL SUR RANCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILVER CREEK DENTAL PARTNERS",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "STARKWEATHER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "650-922-0897"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Creek Dental Partners",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caitlin Scarry, M.S., CCC-SLP
• Scartphil, Inc.
• April Scatliffe
• Leslie Ein Scavo Nieto
• Kay Bowman Scavulli, RN
• Scend Psychiatric Services Nursing Corporation
• Lydia Schaake
• Adam Nicolas Schaar, MD
• Brandon Michael Schabacker, M.D.
• Kayla Schabbing

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.