NPIMap

Organization Active NPI

Dr. Kevin Swartzberg Dental Corporation

  • General Practice Dentistry
  • Lemon Grove, CA
National Provider Identifier
1508890799
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39895 Issued in CA
Legal business name
DR. KEVIN SWARTZBERG DENTAL CORPORATION
Practice address
3050 Main St
Lemon Grove, CA 91945-2426
Phone
(619) 463-9931
Fax
(619) 463-9317
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Dr. Kevin Swartzberg, D.D.S.NPI 1700129608
Title
Ceo
Phone
(619) 463-9931

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39895 CA Primary

Addresses

Primary practice location

3050 Main St
Lemon Grove, CA 91945-2426

Mailing address

3050 Main St
Lemon Grove, CA 91945-2426
Phone (619) 463-9931

National Provider Directory

National Provider Directory

Locations

3050 Main St
Lemon Grove, CA 91945
Phone (619) 463-9931

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1508890799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 MAIN ST",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919452426",
            "telephone_number": "619-463-9931",
            "fax_number": "619-463-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MAIN ST",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919452426",
            "telephone_number": "619-463-9931",
            "fax_number": "619-463-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KEVIN SWARTZBERG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "SWARTZBERG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-463-9931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemon Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.