Organization Active NPI

Dovigi Dental Corp

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1518365352
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D2087478 Issued in CA
Legal business name
DOVIGI DENTAL CORP
Practice address
9520 Chesapeake Dr Ste 607
San Diego, CA 92123-1331
Phone
(858) 692-9132
NPI assigned
Dec 10, 2014
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Dr. Allan Dovigi, DDS, MSNPI 1629168265
Title
President
Phone
(858) 692-9132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D2087478 CA Primary

Addresses

Primary practice location

9520 Chesapeake Dr Ste 607
San Diego, CA 92123-1331

Mailing address

PO Box 1989
La Jolla, CA 92038-1989
Phone (800) 955-4765

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1518365352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1989",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920381989",
            "telephone_number": "800-955-4765",
            "fax_number": "858-573-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 CHESAPEAKE DR STE 607",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231331",
            "telephone_number": "858-692-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVIGI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "DOVIGI",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-692-9132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2087478",
            "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 Dec 10, 2014; 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.