NPIMap

Organization Active NPI

Ta Gereb Orthodontics, Inc.

  • Dental Clinic/Center
  • La Mesa, CA
National Provider Identifier
1558666339
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
40153 Issued in CA
Legal business name
TA GEREB ORTHODONTICS, INC.
Practice address
5121 Garfield St
La Mesa, CA 91941-5103
Phone
(619) 698-5121
Fax
(619) 698-1229
NPI assigned
Jan 25, 2011
Last updated
Jan 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. Todd A Gereb, D.D.S.
Title
Doctor
Phone
(619) 698-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 40153 CA Primary

Addresses

Primary practice location

5121 Garfield St
La Mesa, CA 91941-5103

Mailing address

5121 Garfield St
La Mesa, CA 91941-5103
Phone (619) 698-5121

National Provider Directory

National Provider Directory

Locations

5121 Garfield St
La Mesa, CA 91941
Phone (619) 698-5121

Practitioners & affiliated clinicians

Practitioners 2

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": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1558666339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 GARFIELD ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415103",
            "telephone_number": "619-698-5121",
            "fax_number": "619-698-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 GARFIELD ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415103",
            "telephone_number": "619-698-5121",
            "fax_number": "619-698-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TA GEREB ORTHODONTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "GEREB",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "619-698-5121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "40153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.