Individual provider Active NPI

Jean Emile Francisco Piansay, D.D.S.

  • General Practice Dentistry
  • Lemon Grove, CA
National Provider Identifier
1841224029
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40000 Issued in CA
Practice address
1411 Skyline Dr
Lemon Grove, CA 91945-4449
Phone
(619) 464-1794
Fax
(619) 464-3894
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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 40000 CA Primary

Addresses

Primary practice location

1411 Skyline Dr
Lemon Grove, CA 91945-4449

Mailing address

1411 Skyline Dr
Lemon Grove, CA 91945-4449
Phone (619) 464-1794

Other identifiers 3

IdentifierTypeStateIssuer
783292OtherCAUCCI
B40000-01OtherCADENTI-CAL
DENTAL BENEFIT PROVOtherCA10532-1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170413000943 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1355627902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jean Emile F. Piansay DDS Inc. General Practice Past 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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1841224029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SKYLINE DR",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919454449",
            "telephone_number": "619-464-1794",
            "fax_number": "619-464-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SKYLINE DR",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919454449",
            "telephone_number": "619-464-1794",
            "fax_number": "619-464-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIANSAY",
        "first_name": "JEAN EMILE",
        "middle_name": "FRANCISCO",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "783292",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B40000-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "10532-1",
            "identifier": "DENTAL BENEFIT PROV",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemon Grove, CA

Sources for this page

Verify at the official NPI Registry.