Organization Active NPI

BDC NSC San Diego

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1730367665
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BDC NSC SAN DIEGO
Practice address
937 N Harbor Dr
San Diego, CA 92132-5001
Phone
(619) 566-8200
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Peter A Ruocco
Title
Director for Dental Services
Phone
(619) 556-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

937 N Harbor Dr
San Diego, CA 92132-5001

Mailing address

937 N Harbor Dr
San Diego, CA 92132-5001

National Provider Directory

National Provider Directory
Tax ID family
McDonald Army Health Care Center200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

937 N Harbor Dr
San Diego, CA 92132
Phone (619) 566-8200

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1730367665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 N HARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921325001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 N HARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921325001",
            "telephone_number": "619-566-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDC NSC SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "RUOCCO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR FOR DENTAL SERVICES",
        "authorized_official_telephone_number": "619-556-8200"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Feb 1, 2008; 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.