NPIMap

Organization Active NPI

South Bay Endodontics

  • Endodontics
  • Chula Vista, CA
National Provider Identifier
1609010735
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
47399 Issued in CA
Legal business name
SOUTH BAY ENDODONTICS
Practice address
885 Canarios CT
Suite 208
Chula Vista, CA 91910-7877
Phone
(619) 421-3374
Fax
(619) 421-3410
NPI assigned
Apr 20, 2009
Organization subpart
Yes
Parent organization
LA JOLLA DENTAL SPECIALTY GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Dr. Duke Huynh Nguyen, D.D.S
Title
Owner
Phone
(619) 421-3374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 47399 CA Primary

Addresses

Primary practice location

885 Canarios CT
Suite 208
Chula Vista, CA 91910-7877

Mailing address

885 Canarios CT
Suite 208
Chula Vista, CA 91910-7877
Phone (619) 421-3374

National Provider Directory

National Provider Directory
Tax ID family
South Bay Endodontics3 organizations share this tax ID, including this one
Part of
South Bay Endodontics

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

885 Canarios Ct
Ste 208
Chula Vista, CA 91910
Phone (619) 421-3374

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1609010735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 CANARIOS CT",
            "address_2": "SUITE 208",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107877",
            "telephone_number": "619-421-3374",
            "fax_number": "619-421-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 CANARIOS CT",
            "address_2": "SUITE 208",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107877",
            "telephone_number": "619-421-3374",
            "fax_number": "619-421-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY ENDODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA JOLLA DENTAL SPECIALTY GROUP",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUKE",
        "authorized_official_middle_name": "HUYNH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-421-3374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "47399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.