Individual provider Active NPI

Thomas G. Kujawski, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1831258672
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31099 Issued in CA
Practice address
5425 Oberlin Dr Ste 101
San Diego, CA 92121-1703
Phone
(858) 546-0500
Fax
(858) 546-1907
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
Yes

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 31099 CA Primary

Addresses

Primary practice location

5425 Oberlin Dr Ste 101
San Diego, CA 92121-1703

Mailing address

5425 Oberlin Dr Ste 101
San Diego, CA 92121-1703
Phone (858) 546-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 2, 2015 through Apr 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31099CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Barreyro, DMD, Inc. PastSince Apr 19, 2020 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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831258672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 OBERLIN DR STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211703",
            "telephone_number": "858-546-0500",
            "fax_number": "858-546-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 OBERLIN DR STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211703",
            "telephone_number": "858-546-0500",
            "fax_number": "858-546-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUJAWSKI",
        "first_name": "THOMAS",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.