Active NPI
Community Dental Services
Doing business as SmileCare Dental Group
- Dentist
- Chula Vista, CA
National Provider Identifier
1861566093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- COMMUNITY DENTAL SERVICES
- Doing business as
- SmileCare Dental Group
- Practice address
- 510 Broadway
Suite 4 & 5
Chula Vista, CA 91910-5306 - Phone
- (619) 476-9400
- Fax
- (619) 476-7661
- NPI assigned
- Nov 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elaine Salcido
- Title
- Contract Supervisor
- Phone
- (714) 708-5308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
510 Broadway
Suite 4 & 5
Chula Vista, CA 91910-5306
Mailing address
2 Macarthur PL
Suite 700
Santa Ana, CA 92707-5924
Phone (714) 708-5308
Other names 1
- SmileCare Dental Group
National Provider Directory
National Provider Directory- Tax ID family
- Community Dental Services
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Dentist
- Chino, CA
- NPI 1730414954
Locations
510 Broadway
Ste 4
Chula Vista, CA 91910
Phone (619) 476-9400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861566093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MACARTHUR PL",
"address_2": "SUITE 700",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927075924",
"telephone_number": "714-708-5308",
"fax_number": "714-708-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BROADWAY",
"address_2": "SUITE 4 & 5",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105306",
"telephone_number": "619-476-9400",
"fax_number": "619-476-7661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY DENTAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SALCIDO",
"authorized_official_first_name": "ELAINE",
"authorized_official_title_or_position": "CONTRACT SUPERVISOR",
"authorized_official_telephone_number": "714-708-5308",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SmileCare Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.