NPIMap

Organization Active NPI

Olen and Maurer Pediatric Dentistry

  • Pediatric Dentistry
  • El Cajon, CA
National Provider Identifier
1578032439
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
OLEN AND MAURER PEDIATRIC DENTISTRY
Practice address
773 Broadway
El Cajon, CA 92021-4631
Phone
(619) 440-5915
Fax
(619) 440-0605
NPI assigned
Nov 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Jessica Salas
Title
Accounts Manager
Phone
(619) 440-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

773 Broadway
El Cajon, CA 92021-4631

Mailing address

773 Broadway
El Cajon, CA 92021-4631
Phone (619) 440-5915

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1578032439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214631",
            "telephone_number": "619-440-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214631",
            "telephone_number": "619-440-5915",
            "fax_number": "619-440-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEN AND MAURER PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "619-440-5915"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 20, 2018; 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.