Individual provider Active NPI

Chris D Patton, D.D.S.

  • General Practice Dentistry
  • Imperial Beach, CA
National Provider Identifier
1861534885
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35442 Issued in CA
Practice address
1340 Imperial Beach Blvd
Suite 202
Imperial Beach, CA 91932-3046
Phone
(619) 429-6600
Fax
(619) 429-1939
NPI assigned
Feb 13, 2007
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 35442 CA Primary

Addresses

Primary practice location

1340 Imperial Beach Blvd
Suite 202
Imperial Beach, CA 91932-3046

Mailing address

3253 Mount Tami Dr
San Diego, CA 92111-4634
Phone (858) 560-1461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35442CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chris D Patton DDS Inc General Practice Past Accepting new patients
Grand Plaza Dental Group Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861534885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 MOUNT TAMI DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114634",
            "telephone_number": "858-560-1461",
            "fax_number": "858-560-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 IMPERIAL BEACH BLVD",
            "address_2": "SUITE 202",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919323046",
            "telephone_number": "619-429-6600",
            "fax_number": "619-429-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "CHRIS",
        "middle_name": "D",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.