Organization Active NPI

West Coast Smiles

  • Dentist
  • Vista, CA
National Provider Identifier
1669801742
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26111 Issued in CA
Legal business name
WEST COAST SMILES
Practice address
3211 Business Park Dr
Suite a
Vista, CA 92081-8529
Phone
(760) 727-6800
Fax
(760) 727-4225
NPI assigned
Nov 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Jovan Plamenac
Title
Dentist
Phone
(510) 386-2811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 26111 CA Primary

Addresses

Primary practice location

3211 Business Park Dr
Suite a
Vista, CA 92081-8529

Mailing address

3211 Business Park Dr
Suite a
Vista, CA 92081-8529
Phone (760) 727-6800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1669801742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 BUSINESS PARK DR",
            "address_2": "SUITE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818529",
            "telephone_number": "760-727-6800",
            "fax_number": "760-727-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 BUSINESS PARK DR",
            "address_2": "SUITE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818529",
            "telephone_number": "760-727-6800",
            "fax_number": "760-727-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "PLAMENAC",
        "authorized_official_first_name": "JOVAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-386-2811"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "26111",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 8, 2013; 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.