Organization Active NPI

S Tchon & Da Smith DDS MD Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Vista, CA
National Provider Identifier
1861882086
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
63419 Issued in CA
Legal business name
S TCHON & DA SMITH DDS MD INC
Practice address
145 Cedar Rd
Ste B
Vista, CA 92083-5103
Phone
(760) 724-8891
Fax
(760) 724-7950
NPI assigned
Jan 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
David Allan Smith, DDS, MD
Title
Cfo
Phone
(760) 724-8891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 63419 CA Primary

Addresses

Primary practice location

145 Cedar Rd
Ste B
Vista, CA 92083-5103

Mailing address

145 Cedar Rd
Ste B
Vista, CA 92083-5103
Phone (760) 724-8891

National Provider Directory

National Provider Directory

Locations

145 Cedar Rd
Ste B
Vista, CA 92083
Phone (760) 724-8891

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": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1861882086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CEDAR RD",
            "address_2": "STE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835103",
            "telephone_number": "760-724-8891",
            "fax_number": "760-724-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CEDAR RD",
            "address_2": "STE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835103",
            "telephone_number": "760-724-8891",
            "fax_number": "760-724-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S TCHON & DA SMITH DDS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "760-724-8891",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "63419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.