Individual provider Active NPI

George John Chionis, D.D.S.

  • General Practice Dentistry
  • La Mesa, CA
National Provider Identifier
1669586731
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21786 Issued in CA
Practice address
7811 La Mesa Blvd
Suite C
La Mesa, CA 91941-3705
Phone
(619) 337-2424
Fax
(619) 377-2777
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21786 CA Primary

Addresses

Primary practice location

7811 La Mesa Blvd
Suite C
La Mesa, CA 91941-3705

Mailing address

7811 La Mesa Blvd
Suite C
La Mesa, CA 91941-3705
Phone (619) 337-2424

Other identifiers 2

IdentifierTypeStateIssuer
417932OtherCAUNITED CONCORDIA
B21786OtherCADENTI-CAL

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

LicenseStateTypeSpecialty
21786CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1669586731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 LA MESA BLVD",
            "address_2": "SUITE C",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413705",
            "telephone_number": "619-337-2424",
            "fax_number": "619-377-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 LA MESA BLVD",
            "address_2": "SUITE C",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413705",
            "telephone_number": "619-337-2424",
            "fax_number": "619-377-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIONIS",
        "first_name": "GEORGE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "417932",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B21786",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.