Danny J. Holtzclaw, DDS, a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DANNY J. HOLTZCLAW, DDS, A PROFESSIONAL CORPORATION

Practice address

690 Otay Lakes Rd Ste 260
Chula Vista, CA 91910-8904

Phone

(619) 482-3264

NPI assigned

May 18, 2022

Organization subpart

No

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

Authorized official

Name

Danny J Holtzaclaw, DDS

Title

Owner

Phone

(619) 482-3264

Specialties & licenses 1

Addresses

Other names 1

• Bonita Del Rey Dental Care Doing business as

Tax ID family

Advanced Dental Implant Center of San Diego3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Danny J. Holtzclaw, DDS, a Professional Corporation

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1447942693
  NPD tax ID
• J. David Moody, DDS, a Professional Dental Corporation

  • General Practice Dentistry
  • Redding, CA
  • NPI 1699498972
  NPD tax ID

Locations

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1861139172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 OTAY LAKES RD STE 260",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919108904",
            "telephone_number": "619-482-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 OTAY LAKES RD STE 260",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919108904",
            "telephone_number": "619-482-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY J. HOLTZCLAW, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "HOLTZACLAW",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-482-3264",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Del Rey Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arissa Elizabeth Daniel
• Madison Daniel, M.S. CCC-SLP
• Cornelia Juliana Daniels
• Jessica Amy Danielson, MA
• Elijah Jowan Danley
• William Danse, PT, DPT
• Dansin, Inc
• Tam Cong Dao, PHARM.D
• Stephanie Dargis
• Douglas J. Darlin, M.D.

• General Practice Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.