Organization Active NPI

Fritzi a Perez-Myers, DMD, Inc.

  • Dentist
  • San Diego, CA
National Provider Identifier
1841538303
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39998 Issued in CA
Legal business name
FRITZI A PEREZ-MYERS, DMD, INC.
Practice address
9750 Miramar Rd Ste 160
San Diego, CA 92126-4561
Phone
(858) 586-9195
Fax
(858) 586-9198
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Dr. Fritzi Perez-Myers, DMD
Title
President
Phone
(858) 586-9195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 39998 CA Primary

Addresses

Primary practice location

9750 Miramar Rd Ste 160
San Diego, CA 92126-4561

Mailing address

PO Box 262465
San Diego, CA 92196-2465
Phone (858) 586-9195

Other identifiers 1

IdentifierTypeStateIssuer
B39998OtherCAMEDI-CAL

Other names 1

  • NA Other name

National Provider Directory

National Provider Directory

Locations

9750 Miramar Rd
Ste 160
San Diego, CA 92126
Phone (858) 586-9195

Practitioners & affiliated clinicians

Practitioners 1

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": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1841538303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262465",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921962465",
            "telephone_number": "858-586-9195",
            "fax_number": "858-586-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD STE 160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264561",
            "telephone_number": "858-586-9195",
            "fax_number": "858-586-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRITZI A PEREZ-MYERS, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ-MYERS",
        "authorized_official_first_name": "FRITZI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-586-9195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "B39998",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 17, 2013; 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.