Keri KM Dental Group, a Professional Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

42542 Issued in CA

Legal business name

KERI KM DENTAL GROUP, A PROFESSIONAL GROUP

Practice address

9737 Aero Dr Ste 210
San Diego, CA 92123-1859

Phone

(619) 585-8500

Fax

(619) 362-9923

NPI assigned

Apr 19, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Elena Flores

Title

Manager

Phone

(619) 869-1149

Specialties & licenses 1

Addresses

Other names 1

• The Superdentists Doing business as

Locations

Practitioners 1

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

• Brittany Koncz, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Diego, CA
  • NPI 1144549833
  NPD (past)

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1932553633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 AERO DR STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231859",
            "telephone_number": "619-585-8500",
            "fax_number": "619-362-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9737 AERO DR STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231859",
            "telephone_number": "619-585-8500",
            "fax_number": "619-362-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERI KM DENTAL GROUP, A PROFESSIONAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-869-1149",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "42542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Superdentists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Kerby
• Michelle Kercado, L. AC
• Vivianna Kercado, RBT
• Julie Kercher, MOT, MPH
• Alexandra Marie Keresztesy, DO
• Keri Sebourn Individual and Family Therapy Inc
• Keri Silva DDS, Inc.
• Jason Shammuel Keri, MD
• Shira Amitai Keri, MD
• Arda Kerleshi, PHARM.D

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.