Organization Active NPI

Jonathan D Albaugh DMD Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vista, CA
National Provider Identifier
1659906055
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JONATHAN D ALBAUGH DMD INC
Practice address
30 Main St Ste G-140
Vista, CA 92083-5860
Phone
(760) 527-2846
Fax
(760) 842-0430
NPI assigned
Mar 5, 2020
Last updated
Dec 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Dr. Jonathan David Albaugh, DMDNPI 1225262371
Title
Owner
Phone
(760) 527-2846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

30 Main St Ste G-140
Vista, CA 92083-5860

Mailing address

30 Main St Ste G-140
Vista, CA 92083-5860
Phone (760) 527-2846

Other identifiers 1

IdentifierTypeStateIssuer
1225262371OtherCANPPES

National Provider Directory

National Provider Directory

Locations

30 Main St
Ste 112
Vista, CA 92083

30 Main St
Ste G140
Vista, CA 92083
Phone (760) 527-2846

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": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1659906055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MAIN ST STE G-140",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835860",
            "telephone_number": "760-527-2846",
            "fax_number": "760-842-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAIN ST STE G-140",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835860",
            "telephone_number": "760-527-2846",
            "fax_number": "760-842-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN D ALBAUGH DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "ALBAUGH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-527-2846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1225262371",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.