Hoss/Keri CMV Dental Group, a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HOSS/KERI CMV DENTAL GROUP, A PROFESSIONAL CORPORATION

Practice address

11943 El Camino Real Ste 200
San Diego, CA 92130-2597

Phone

(619) 636-2665

NPI assigned

Feb 20, 2018

Organization subpart

No

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

Authorized official

Name

Laura Flores

Title

Manager

Phone

(619) 636-2665

Specialties & licenses 1

Addresses

Other names 1

• The Super Dentists Doing business as

Locations

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1861992323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 AERO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231859",
            "telephone_number": "619-636-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11943 EL CAMINO REAL STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302597",
            "telephone_number": "619-636-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSS/KERI CMV DENTAL GROUP, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-636-2665"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Super Dentists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meredith Hoskins, MS
• Kevin Ann Hoskinson
• Hospice de la Frontera
• Hospice of the South Coast, LLC
• Hoss KM Dental Group, a Professional Group
• Hoss/Keri KM Dental Group, a Professional Corporation
• Hossain a Ronaghy MD Inc
• Mashfik Hossain
• Maya Hossaini, MSW
• Hossein Samadi MD PC

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Feb 20, 2018; 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.