Individual provider Active NPI

David Rens, DDS

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1780770685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37982 Issued in CA
Practice address
4103 3Rd Ave Ste a
San Diego, CA 92103-1408
Phone
(619) 299-3200
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37982 CA Primary

Addresses

Primary practice location

4103 3Rd Ave Ste a
San Diego, CA 92103-1408

Mailing address

4103 3Rd Ave Ste a
San Diego, CA 92103-1408
Phone (619) 299-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708000052 CA Order and Referring Only - DentistPractitioner - Dentist 3274845037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37982CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
David Rens, DDS and Ann Marie Zimerman, DDS Apc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780770685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 3RD AVE STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031408",
            "telephone_number": "619-299-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 3RD AVE STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031408",
            "telephone_number": "619-299-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENS",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.