NPIMap

Organization Active NPI

George C Jared D D S Inc

Doing business as Bast County Family Dental CTR.

  • General Practice Dentistry
  • El Cajon, CA
National Provider Identifier
1568573954
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GEORGE C JARED D D S INC
Doing business as
Bast County Family Dental CTR.
East County Family Dental Center
Practice address
13465 Camino Canada
Ste 110-a
El Cajon, CA 92021-8813
Phone
(619) 390-3669
Fax
(619) 390-3328
NPI assigned
Aug 31, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. George C. Jared, D.D.S.NPI 1568896264
Title
President/Owner
Phone
(619) 390-3669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

13465 Camino Canada
Ste 110-a
El Cajon, CA 92021-8813

Mailing address

13465 Camino Canada
Ste 110-a
El Cajon, CA 92021-8813
Phone (619) 390-3669

Other names 2

  • Bast County Family Dental CTR. Doing business as
  • EAST COUNTY FAMILY DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568573954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13465 CAMINO CANADA",
            "address_2": "STE 110-A",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920218813",
            "telephone_number": "619-390-3669",
            "fax_number": "619-390-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13465 CAMINO CANADA",
            "address_2": "STE 110-A",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920218813",
            "telephone_number": "619-390-3669",
            "fax_number": "619-390-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE C JARED D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "JARED",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "619-390-3669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bast County Family Dental CTR.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bast County Family Dental CTR.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EAST COUNTY FAMILY DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.