Saade Terranova Dental Partnership

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SAADE TERRANOVA DENTAL PARTNERSHIP

Practice address

9850 Genesee Ave Ste 720
La Jolla, CA 92037-1218

Phone

(858) 453-5525

Fax

(858) 453-1275

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Kelly Terranova, DDSNPI 1801028766

Title

Dentist

Phone

(858) 453-5525

Specialties & licenses 1

Addresses

Other names 1

• Torrey Pines Dental Arts Doing business as

Locations

Practitioners 3

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

• Kelly Cathryn Terranova, DDS

  • General Practice Dentistry
  • Mishawaka, IN
  • NPI 1801028766
  NPD Authorized official
• Michael Geoffrey Sherman, DMD

  • Endodontics
  • La Jolla, CA
  • NPI 1760527972
  NPD (past)
• Richard Lee Sherman, DDS

  • General Practice Dentistry
  • La Jolla, CA
  • NPI 1720187297
  NPD (past)

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1568048858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 720",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371218",
            "telephone_number": "858-453-5525",
            "fax_number": "858-453-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 720",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371218",
            "telephone_number": "858-453-5525",
            "fax_number": "858-453-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAADE TERRANOVA DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "TERRANOVA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "858-453-5525",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Torrey Pines Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Joseph Ryan, PHARM.D.
• Janis C. Ryan, CCC-A
• Sean Michael Ryan, M.D.
• S&I Capital LLC
• John J. Saad, M.D.
• Jesus Sabala
• Samantha J Sabala, LCSW, CCM
• Sabina R Wallach MD AMC
• Sabina R. Wallach, M.D. a Medical Corp
• David Allen Sabourin, DDS

• General Practice Dentistry in La Jolla, CA
• Providers in La Jolla, 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 Mar 18, 2021; 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.