NPIMap

Organization Active NPI

Laura B. Sevilla DDS, Inc

  • General Practice Dentistry
  • National City, CA
National Provider Identifier
1750646006
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52686 Issued in CA
Legal business name
LAURA B. SEVILLA DDS, INC
Practice address
1919 Highland Ave
National City, CA 91950-5864
Phone
(619) 292-3043
Fax
(619) 292-3695
NPI assigned
Jul 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Dr. Laura B Sevilla, DDSNPI 1265549943
Title
President
Phone
(619) 292-3043

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 52686 CA Primary

Addresses

Primary practice location

1919 Highland Ave
National City, CA 91950-5864

Mailing address

1919 Highland Ave
National City, CA 91950-5864
Phone (619) 292-3043

National Provider Directory

National Provider Directory

Locations

1919 Highland Ave
National City, CA 91950
Phone (619) 292-3043

Practitioners & affiliated clinicians

Practitioners 4

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": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1750646006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 HIGHLAND AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505864",
            "telephone_number": "619-292-3043",
            "fax_number": "619-292-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 HIGHLAND AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505864",
            "telephone_number": "619-292-3043",
            "fax_number": "619-292-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA B. SEVILLA DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "SEVILLA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-292-3043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.