NPIMap

Organization Active NPI

Scripps Ranch Family Dentistry

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1831382993
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46495 Issued in CA
Legal business name
SCRIPPS RANCH FAMILY DENTISTRY
Practice address
10299 Scripps TRL Ste F
San Diego, CA 92131-2366
Phone
(858) 578-0277
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Carrie Eldridge, RDA
Title
Office MGR.
Phone
(858) 578-0277

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 46495 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 49791 CA

Addresses

Primary practice location

10299 Scripps TRL Ste F
San Diego, CA 92131-2366

Mailing address

10299 Scripps TRL Ste F
San Diego, CA 92131-2366
Phone (858) 578-0277

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1831382993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10299 SCRIPPS TRL STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312366",
            "telephone_number": "858-578-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10299 SCRIPPS TRL STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312366",
            "telephone_number": "858-578-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPPS RANCH FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "858-578-0277",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46495",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2007; 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.