Taub Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09516 Issued in CA

Legal business name

TAUB DENTAL CORPORATION

Doing business as

Civic Center Dental Group

Practice address

135 Civic Center Dr
#102
National City, CA 91950-4314

Phone

(619) 474-6200

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ernest Taub

Title

President

Phone

(619) 474-6200

Specialties & licenses 1

Addresses

Other names 1

• Civic Center Dental Group Doing business as

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.

• Michael Cornell, D.D.S.

  • Dentist
  • National City, CA
  • NPI 1245449941
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548486038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CIVIC CENTER DR",
            "address_2": "#102",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919504314",
            "telephone_number": "619-474-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CIVIC CENTER DR",
            "address_2": "#102",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919504314",
            "telephone_number": "619-474-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAUB DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAUB",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-474-6200"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "09516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Civic Center Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in National City, CA
• Providers in National City, 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 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.