Individual provider Active NPI

Jennifer Rearrick, D.D.S.

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1871809392
Registry record updated Aug 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59168 Issued in CA
Practice address
2127 Olympic Pkwy
Ste. 1003
Chula Vista, CA 91915-1359
Phone
(619) 482-1962
NPI assigned
Aug 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59168 CA Primary

Addresses

Primary practice location

2127 Olympic Pkwy
Ste. 1003
Chula Vista, CA 91915-1359

Mailing address

8555 Station Village LN
Apt #3450
San Diego, CA 92108-6543

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

State licenses

LicenseStateTypeSpecialty
59168CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Eric John R Eusebio DMD Inc Past 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": "1282348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282348800000",
    "number": "1871809392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 STATION VILLAGE LN",
            "address_2": "APT #3450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 OLYMPIC PKWY",
            "address_2": "STE. 1003",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151359",
            "telephone_number": "619-482-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARRICK",
        "first_name": "JENNIFER",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-21",
        "last_updated": "2010-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 21, 2010; 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.