Chrales Bruno Refkin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24689 Issued in CA

Practice address

742 Broadway
El Cajon, CA 92021-4630

Phone

(619) 404-0071

Fax

(619) 440-7956

NPI assigned

Jan 3, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Javier Valadez, DDS, Inc.

  • Dentist
  • La Mesa, CA
  • NPI 1871029603
  NPD (past)

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

{
    "created_epoch": "1230940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1508002130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 JARRON PLZ",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107010",
            "telephone_number": "619-371-7987",
            "fax_number": "619-440-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214630",
            "telephone_number": "619-404-0071",
            "fax_number": "619-440-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFKIN",
        "first_name": "CHRALES",
        "middle_name": "BRUNO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-03",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Sharon Reecher, PA-C
• Dustin Charles Reed
• Elizabeth R Reed
• Angela Reedy
• Robert Reeves
• Regency Eye Care, Inc.
• Rejuve2U Inc, a Professional Medical Corporation
• Reliancemed, Inc.
• Karla Anne Rella, CPNP
• Mariam Remus-Marante, MA

• General Practice Dentistry in El Cajon, CA
• Providers in El Cajon, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.