Individual provider Active NPI

John Freda, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Diego, CA
National Provider Identifier
1871237792
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
112218 Issued in CA
Practice address
7695 Cardinal CT Ste 320
San Diego, CA 92123-3357
Phone
(858) 277-8080
NPI assigned
Apr 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 112218 CA Primary

Addresses

Primary practice location

7695 Cardinal CT Ste 320
San Diego, CA 92123-3357

Mailing address

66 Meadow Spring CT
East Amherst, NY 14051-1396
Phone (716) 465-8875

Other practice location 1

17085 Camino San Bernardo Ste 220
San Diego, CA 92127-9701
Phone (858) 277-8088

Other practice location 2

833 W San Marcos Blvd
San Marcos, CA 92078-1112
Phone (760) 744-4444

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ehsani Dental Practice Orthodontics and Dentofacial Orthopedics PastSince Sep 8, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1871237792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MEADOW SPRING CT",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511396",
            "telephone_number": "716-465-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT STE 320",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-277-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17085 Camino San Bernardo Ste 220",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921279701",
            "country_code": "US",
            "telephone_number": "858-277-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 W San Marcos Blvd",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920781112",
            "country_code": "US",
            "telephone_number": "760-744-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDA",
        "first_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "112218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.