Individual provider Active NPI

Howard Parker Dambrose

  • Dentist
  • San Diego, CA
National Provider Identifier
1699849273
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37409 Issued in CA
Practice address
10715 Tierrasanta Blvd Ste C
San Diego, CA 92124-2610
Phone
(858) 278-6444
Fax
(858) 279-6444
NPI assigned
Nov 17, 2006
Last updated
Sep 6, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 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

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
37409CAMDMarriage & Family Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1699849273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 TIERRASANTA BLVD 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 STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242610",
            "telephone_number": "858-278-6444",
            "fax_number": "858-279-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMBROSE",
        "first_name": "HOWARD",
        "middle_name": "PARKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 6, 2007; 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.