Organization Active NPI

Andrzej Lubczuk Dental, Inc.

  • Dentist
  • El Cajon, CA
National Provider Identifier
1497877849
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42568 Issued in CA
Legal business name
ANDRZEJ LUBCZUK DENTAL, INC.
Practice address
707 Arnele Ave
El Cajon, CA 92020-2501
Phone
(619) 444-1001
Fax
(619) 588-8022
NPI assigned
Apr 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jessica N. Espinosa
Title
Office Manager
Phone
(619) 444-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 42568 CA Primary

Addresses

Primary practice location

707 Arnele Ave
El Cajon, CA 92020-2501

Mailing address

707 Arnele Ave
El Cajon, CA 92020-2501
Phone (619) 444-1001

Other names 1

  • Dental Arts Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

707 Arnele Ave
El Cajon, CA 92020
Phone (619) 444-1001

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": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497877849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 ARNELE AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202501",
            "telephone_number": "619-444-1001",
            "fax_number": "619-588-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ARNELE AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202501",
            "telephone_number": "619-444-1001",
            "fax_number": "619-588-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRZEJ LUBCZUK DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-444-1001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Arts Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.