Organization Active NPI

Ness Dental Corporation

  • Dentist
  • National City, CA
National Provider Identifier
1760869796
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37266 Issued in CA
Legal business name
NESS DENTAL CORPORATION
Practice address
2405 Transportation Ave
National City, CA 91950-6664
Phone
(619) 474-6200
Fax
(619) 477-4059
NPI assigned
Apr 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Dr. Douglas G Ness, DDSNPI 1821105446
Title
President
Phone
(907) 360-2690

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 37266 CA Primary

Addresses

Primary practice location

2405 Transportation Ave
National City, CA 91950-6664

Mailing address

2405 Transportation Ave
National City, CA 91950-6664
Phone (619) 474-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200804003392 CA Part B Supplier - Clinic/Group Practice 2365867512 Receives reassigned benefits from 1 practitioner
Practice locations: National City, CA

National Provider Directory

National Provider Directory

Locations

2405 Transportation Ave
National City, CA 91950
Phone (619) 474-6200

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": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1760869796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 TRANSPORTATION AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919506664",
            "telephone_number": "619-474-6200",
            "fax_number": "619-477-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 TRANSPORTATION AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919506664",
            "telephone_number": "619-474-6200",
            "fax_number": "619-477-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "NESS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-360-2690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37266",
            "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 Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.