Organization Active NPI

Sidney L. Spector, DDS, Prof. Corp,

  • Periodontics
  • San Diego, CA
National Provider Identifier
1902919269
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
27073 Issued in CA
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.