Organization Active NPI

Justene Doan Dental, PC

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1801617162
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JUSTENE DOAN DENTAL, PC
Practice address
3780 El Cajon Blvd
San Diego, CA 92105-1080
Phone
(619) 265-6877
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Justene Doan, DDS
Title
Ceo
Phone
(619) 265-6877

Specialties & licenses 1

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

Addresses

Primary practice location

3780 El Cajon Blvd
San Diego, CA 92105-1080

Mailing address

3780 El Cajon Blvd
San Diego, CA 92105-1080
Phone (619) 265-6877

Other names 2

  • A Family Dentistry Doing business as
  • Roger T. Tran DDS, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

3780 El Cajon Blvd
San Diego, CA 92105
Phone (619) 265-2467

Practitioners & affiliated clinicians

Practitioners 1

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": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1801617162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051080",
            "telephone_number": "619-265-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051080",
            "telephone_number": "619-265-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTENE DOAN DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-20",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "JUSTENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-265-6877",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roger T. Tran DDS, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 21, 2024; 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.