Joshua Masillamoni, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

64723 Issued in CA

Legal business name

JOSHUA MASILLAMONI, DDS, PC

Practice address

2452 Fenton St.
#304
Chula Vista, CA 91914

Phone

(619) 656-4343

Fax

(619) 656-4338

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Joshua Masillamoni, DDS

Title

President

Phone

(410) 487-2910

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871016501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 FENTON ST STE 304",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144552",
            "telephone_number": "619-656-4343",
            "fax_number": "619-656-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 FENTON ST.",
            "address_2": "#304",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91914",
            "telephone_number": "619-656-4343",
            "fax_number": "619-656-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA MASILLAMONI, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MASILLAMONI",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-487-2910",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.