Organization Active NPI

Keri D.D.S a Professional Corporation

  • Pediatric Dentistry
  • Chula Vista, CA
National Provider Identifier
1891030730
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
42542 Issued in CA
Legal business name
KERI D.D.S A PROFESSIONAL CORPORATION
Practice address
2226 Otay Lakes Rd Ste a
Chula Vista, CA 91915-1010
Phone
(619) 216-7336
Fax
(619) 216-2084
NPI assigned
Dec 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Nazli Keri, DDS
Title
Owner
Phone
(619) 216-7336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 42542 CA Primary

Addresses

Primary practice location

2226 Otay Lakes Rd Ste a
Chula Vista, CA 91915-1010

Mailing address

2226 Otay Lakes Rd Ste a
Chula Vista, CA 91915-1010
Phone (619) 216-7336

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1891030730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 OTAY LAKES RD STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151010",
            "telephone_number": "619-216-7336",
            "fax_number": "619-216-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 OTAY LAKES RD STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151010",
            "telephone_number": "619-216-7336",
            "fax_number": "619-216-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERI D.D.S A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "KERI",
        "authorized_official_first_name": "NAZLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-216-7336",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "42542",
            "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 Dec 4, 2012; 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.