Active NPI
Sidney L. Spector, DDS, Prof. Corp,
- Periodontics
- San Diego, CA
National Provider Identifier
1902919269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 27073
- Legal business name
- SIDNEY L. SPECTOR, DDS, PROF. CORP,
- Practice address
- 9855 Erma Rd
Ste 110
San Diego, CA 92131-3001 - Phone
- (858) 578-2205
- Fax
- (858) 578-1753
- NPI assigned
- Aug 17, 2006
- Last updated
- May 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sidney Lloyd Spector, DDS
- Title
- Owner
- Phone
- (858) 578-2205
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 27073 | CA | Primary |
| Dental Hygienist | 124Q00000X | 6252 | CA | |
| Dental Hygienist | 124Q00000X | 20492 | CA |
Addresses
Primary practice location
9855 Erma Rd
Ste 110
San Diego, CA 92131-3001
Mailing address
9855 Erma Rd
Ste 110
San Diego, CA 92131-3001
Phone (858) 578-2205
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241136000000",
"number": "1902919269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9855 ERMA RD",
"address_2": "STE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313001",
"telephone_number": "858-578-2205",
"fax_number": "858-578-1753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9855 ERMA RD",
"address_2": "STE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313001",
"telephone_number": "858-578-2205",
"fax_number": "858-578-1753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIDNEY L. SPECTOR, DDS, PROF. CORP,",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2009-05-01",
"status": "A",
"authorized_official_last_name": "SPECTOR",
"authorized_official_first_name": "SIDNEY",
"authorized_official_middle_name": "LLOYD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-578-2205",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "27073",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "6252",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "20492",
"primary": false
}
],
"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 May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.