NPIMap

Organization Active NPI

Jessica Roeber, DDS

  • Endodontics
  • San Diego, CA
National Provider Identifier
1902568215
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
JESSICA ROEBER, DDS
Practice address
6235 Lusk Blvd
San Diego, CA 92121-2731
Phone
(970) 210-5315
NPI assigned
Oct 13, 2021
Last updated
Oct 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Dr. Jesisca Roeber, DDS
Title
President
Phone
(970) 210-5315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

6235 Lusk Blvd
San Diego, CA 92121-2731

Mailing address

6235 Lusk Blvd
San Diego, CA 92121-2731
Phone (970) 210-5315

National Provider Directory

National Provider Directory

Locations

6235 Lusk Blvd
San Diego, CA 92121
Phone (858) 558-3636

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1902568215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 LUSK BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212731",
            "telephone_number": "970-210-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 LUSK BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212731",
            "telephone_number": "970-210-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA ROEBER, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "ROEBER",
        "authorized_official_first_name": "JESISCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-210-5315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "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 Oct 13, 2021; 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.