Active NPI
Joseph Crist Innes, D.D.S.
- Prosthodontics
- Camp Pendleton, CA
National Provider Identifier
1619960820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 42331
- Practice address
- 1Stdenbn/NDC Camp Pendleton
Camp Pendleton, CA 92055-5221 - Phone
- (760) 725-7704
- Fax
- (760) 725-7461
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 42331 | CA | Primary |
Addresses
Primary practice location
1Stdenbn/NDC Camp Pendleton
Camp Pendleton, CA 92055-5221
Mailing address
18161 Santa Joanana
Fountain Valley, CA 92708-5643
Phone (714) 962-4004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42331 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619960820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18161 SANTA JOANANA",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085643",
"telephone_number": "714-962-4004",
"fax_number": "760-725-7461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1STDENBN/NDC CAMP PENDLETON",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "920555221",
"telephone_number": "760-725-7704",
"fax_number": "760-725-7461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNES",
"first_name": "JOSEPH",
"middle_name": "CRIST",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "42331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Pendleton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.