Katja H Noonan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110879 Issued in CA

Practice address

4776 Cass St
San Diego, CA 92109-2603

Phone

(858) 270-1922

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1568281889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 OPAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091832",
            "telephone_number": "858-900-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4776 CASS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092603",
            "telephone_number": "858-270-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "KATJA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribeth Torno Nono
• Sandra Delia Nooe, LCSW
• Michael A. Noon, M.D.
• Dianna Elaine Noonan, PT
• Kathleen Kelly Noonan, L.AC.
• Kayla Noonan
• Thomas Noonan, L.AC.
• Abdulahi Ade Noor
• Cristina Noor
• Masiti Haji Noor

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Oct 3, 2024; 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.