Active NPI
Laura Elizabeth Dennis, DVM
- Veterinarian
- San Diego, CA
National Provider Identifier
1710222724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 18176
- Practice address
- 5610 Kearny Mesa Rd
San Diego, CA 92111-1313 - Phone
- (858) 699-3104
- Fax
- (858) 569-0660
- NPI assigned
- Dec 2, 2012
- Last updated
- Dec 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 18176 | CA | Primary |
Addresses
Primary practice location
5610 Kearny Mesa Rd
San Diego, CA 92111-1313
Mailing address
5610 Kearny Mesa Rd
San Diego, CA 92111-1313
Phone (858) 699-3104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18176 | Other | CA | VETERINARY MEDICAL BOARD LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18176 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354406400000",
"number": "1710222724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5610 KEARNY MESA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111313",
"telephone_number": "858-699-3104",
"fax_number": "858-569-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 KEARNY MESA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111313",
"telephone_number": "858-699-3104",
"fax_number": "858-569-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-02",
"last_updated": "2012-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "CA",
"license": "18176",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VETERINARY MEDICAL BOARD LICENSE NUMBER",
"identifier": "18176",
"state": "CA"
}
],
"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 Dec 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.