North Park Smiles

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

44306 Issued in CA

Legal business name

NORTH PARK SMILES

Practice address

3795 30TH St
San Diego, CA 92104-3631

Phone

(619) 220-0548

Fax

(619) 220-8604

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Eduardo Diaz, DDSNPI 1922157288

Title

Owner

Phone

(619) 220-0549

Specialties & licenses 1

Addresses

Other names 1

• Eduardo Diaz Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eduardo Diaz, D.D.S

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1922157288
  NPD (past) Authorized official
• Juan Carlos Rios, DDS

  • Dentist
  • San Diego, CA
  • NPI 1528427663
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1538358643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043631",
            "telephone_number": "619-220-0548",
            "fax_number": "619-220-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043631",
            "telephone_number": "619-220-0548",
            "fax_number": "619-220-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PARK SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-220-0549",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "44306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eduardo Diaz",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• North County Orthopedic Medical Group Inc
• North County Post Acute Care Solutions, Inc
• North County Therapy for Young Men
• North Park Acupuncture
• North Park Pharmacy Inc
• North Star Speech and Language Pathology Center, Inc.
• Elise North, MS, RD
• Julianne Murray North, MD
• Karen J North, MS., OTR/L
• Leah Marie North

• Public Health Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.