Active NPI
Howard P. Dambrose, D.D.S., Inc.
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1659374304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37409
- Legal business name
- HOWARD P. DAMBROSE, D.D.S., INC.
- Practice address
- 10715 Tierrasanta Blvd
Ste C
San Diego, CA 92124-2610 - Phone
- (858) 278-6444
- Fax
- (858) 279-6444
- NPI assigned
- May 24, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Howard Parker Dambrose, D.D.S.
- Title
- President
- Phone
- (858) 278-6444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37409 | CA | Primary |
Addresses
Primary practice location
10715 Tierrasanta Blvd
Ste C
San Diego, CA 92124-2610
Mailing address
10715 Tierrasanta Blvd
Ste C
San Diego, CA 92124-2610
Phone (858) 278-6444
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000753449 | Other | CA | TRICARE-TDP (UCCI) |
| 37409 | Other | CA | DELTA DENTAL |
| 37409 | Other | CA | INSURANCE CARRIERS |
| B37409-01 | Other | CA | DENTI-CAL |
Other names 1
- Dependents Dental Center of Howard P. Dambrose, DDS, Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534464000000",
"number": "1659374304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10715 TIERRASANTA BLVD",
"address_2": "STE C",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921242610",
"telephone_number": "858-278-6444",
"fax_number": "858-279-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10715 TIERRASANTA BLVD",
"address_2": "STE C",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921242610",
"telephone_number": "858-278-6444",
"fax_number": "858-279-6444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOWARD P. DAMBROSE, D.D.S., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-24",
"last_updated": "2018-08-17",
"status": "A",
"authorized_official_last_name": "DAMBROSE",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "PARKER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-278-6444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "37409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE-TDP (UCCI)",
"identifier": "000753449",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "37409",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE CARRIERS",
"identifier": "37409",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "B37409-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dependents Dental Center of Howard P. Dambrose, DDS, Inc",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.