N. D. Mittleman, D.D.S., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

23939 Issued in CA

Legal business name

N. D. MITTLEMAN, D.D.S., INC.

Doing business as

Ralph L. Raya, D.D.S., Inc dba Tierrasanta Plaza Dental Care

Practice address

10715 Tierrasanta Blvd
Suite C
San Diego, CA 92124-2610

Phone

(858) 278-6444

Fax

(858) 279-6444

NPI assigned

Mar 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Norman Dale Mittleman, D.D.S.

Title

President

Phone

(858) 354-1229

Specialties & licenses 1

Addresses

Other names 1

• Ralph L. Raya, D.D.S., Inc dba Tierrasanta Plaza Dental Care Doing business as

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1699040659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8890",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920678890",
            "telephone_number": "858-354-1229",
            "fax_number": "858-759-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10715 TIERRASANTA BLVD",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242610",
            "telephone_number": "858-278-6444",
            "fax_number": "858-279-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N. D. MITTLEMAN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "MITTLEMAN",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-354-1229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "23939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ralph L. Raya, D.D.S., Inc dba Tierrasanta Plaza Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.