Active NPI
Durschlag Dental Corp
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Diego, CA
National Provider Identifier
1497366819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- DURSCHLAG DENTAL CORP
- Practice address
- 239 Laurel St Ste 201
San Diego, CA 92101-1473 - Phone
- (619) 291-5266
- NPI assigned
- Aug 10, 2020
- 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
- Matthew Durschlag, DDS
- Title
- President
- Phone
- (858) 248-7005
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
239 Laurel St Ste 201
San Diego, CA 92101-1473
Mailing address
11921 Carmel Creek Rd Apt 109
San Diego, CA 92130-2566
Phone (858) 248-7005
National Provider Directory
National Provider DirectoryLocations
239 Laurel St
Ste 201
San Diego, CA 92101
Phone (619) 291-5266
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Diego, CA
- NPI 1700165917
-
- Pediatric Dentistry
- San Diego, CA
- NPI 1134311004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597017600000",
"number": "1497366819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11921 CARMEL CREEK RD APT 109",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302566",
"telephone_number": "858-248-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 LAUREL ST STE 201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921011473",
"telephone_number": "619-291-5266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURSCHLAG DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A",
"authorized_official_last_name": "DURSCHLAG",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-248-7005",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"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 Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.