Grand Plaza Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

35442 Issued in CA

Legal business name

GRAND PLAZA DENTAL GROUP

Doing business as

Patton Dental Corporation

Practice address

137 S Las Posas Rd Ste 250
San Marcos, CA 92078-2470

Phone

(760) 752-7000

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chris D Patton, DDSNPI 1861534885

Title

Dentist and Owner

Phone

(858) 560-1461

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Patton Dental Corporation Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris D Patton, D.D.S.

  • General Practice Dentistry
  • Imperial Beach, CA
  • NPI 1861534885
  NPD (past) Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1922201219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 MOUNT TAMI DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114634",
            "telephone_number": "858-560-1461",
            "fax_number": "858-560-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S LAS POSAS RD STE 250",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782470",
            "telephone_number": "760-752-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PLAZA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST AND OWNER",
        "authorized_official_telephone_number": "858-560-1461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "35442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G8996301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patton Dental Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Gosselin, RAS
• Kyler Gough
• Laura Katherine Gould, DPT
• Dylan Gouzy
• Ellen Gowen, R.D.
• Corinne C C Grandinetti, MFT
• Courtney Gray, PHARMD
• Trinity Green
• Diana Lynn Greenlee
• Lisa Adel Grefe, L.V.N.

• Dentist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.