NPIMap

Organization Active NPI

Chapokas Luczynski Dental Partnership

  • Periodontics
  • San Diego, CA
National Provider Identifier
1700339397
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
58890 Issued in CA
Legal business name
CHAPOKAS LUCZYNSKI DENTAL PARTNERSHIP
Practice address
3730 3Rd Ave
San Diego, CA 92103-4112
Phone
(619) 297-2949
Fax
(619) 297-8535
NPI assigned
Jul 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Andrew Robert Chapokas, DMD MSDNPI 1235263278
Title
General Partner
Phone
(619) 297-2949

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 29814 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 59349 CA
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 58890 CA Primary

Addresses

Primary practice location

3730 3Rd Ave
San Diego, CA 92103-4112

Mailing address

3730 3Rd Ave
San Diego, CA 92103-4112
Phone (619) 297-2949

Other names 1

  • C & L DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

3730 3rd Ave
San Diego, CA 92103
Phone (619) 291-6191

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1700339397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034112",
            "telephone_number": "619-297-2949",
            "fax_number": "619-297-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034112",
            "telephone_number": "619-297-2949",
            "fax_number": "619-297-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPOKAS LUCZYNSKI DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "CHAPOKAS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "619-297-2949",
        "authorized_official_credential": "DMD MSD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "29814",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59349",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "58890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C & L DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 29, 2016; 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.