Active NPI
Jaime Rodrigo Estrella, D.D.S.
- Prosthodontics
- Chula Vista, CA
National Provider Identifier
1891999843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 55736
- Practice address
- 2452 Fenton St.
#100
Chula Vista, CA 91914 - Phone
- (619) 397-4111
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 55736 | CA | Primary |
Addresses
Primary practice location
2452 Fenton St.
#100
Chula Vista, CA 91914
Mailing address
2452 Fenton St Ste 100
Chula Vista, CA 91914-4543
Phone (619) 250-2452
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1891999843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2452 FENTON ST STE 100",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919144543",
"telephone_number": "619-250-2452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2452 FENTON ST.",
"address_2": "#100",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91914",
"telephone_number": "619-397-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRELLA",
"first_name": "JAIME",
"middle_name": "RODRIGO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "55736",
"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 Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.