Individual provider Active NPI

Luis Vidaurri, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chula Vista, CA
National Provider Identifier
1821727173
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DDS111541 Issued in CA
Practice address
2226 Otay Lakes Rd Ste a-B
Chula Vista, CA 91915-1010
Phone
(619) 336-8478
NPI assigned
Jun 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X DDS111541 CA Primary

Addresses

Primary practice location

2226 Otay Lakes Rd Ste a-B
Chula Vista, CA 91915-1010

Mailing address

3588 Torrey View CT
San Diego, CA 92130-2635

Other practice location 1

345 F St Ste 260
Chula Vista, CA 91910-2649
Phone (619) 336-8478

Other practice location 2

9737 Aero Dr Ste 210
San Diego, CA 92123-1854
Phone (858) 336-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS111541CAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1821727173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3588 TORREY VIEW CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 OTAY LAKES RD STE A-B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151010",
            "telephone_number": "619-336-8478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 F St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919102649",
            "country_code": "US",
            "telephone_number": "619-336-8478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9737 Aero Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231854",
            "country_code": "US",
            "telephone_number": "858-336-8478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDAURRI",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS111541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.