Victor a. Ippolito DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20379 Issued in CA

Legal business name

VICTOR A. IPPOLITO DDS, INC.

Practice address

6280 Jackson Dr
Suite 3
San Diego, CA 92119-3434

Phone

(619) 461-7700

Fax

(619) 461-3082

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Victor A. Ippolito, DDS

Title

Owner

Phone

(619) 461-7700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821199746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DRIVE",
            "address_2": "SUITE 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193434",
            "telephone_number": "619-461-7700",
            "fax_number": "619-461-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR",
            "address_2": "SUITE 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193434",
            "telephone_number": "619-461-7700",
            "fax_number": "619-461-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR A. IPPOLITO DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IPPOLITO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-461-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "20379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyara Vickers
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• Lynnesa Estiva Vickery, MFT
• Kaitlin Vickrey
• Justin David Vickroy, D.C.
• Victor BJ Krauss Chiropractic, a Professional Corporation
• Victor C. Coelho, MD, Inc.
• Victor Kops, PH.D.
• Victor X Crawford DDS Inc
• Laurie Victor, LVN

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.