NPIMap

Organization Active NPI

Eric John R Eusebio DMD Inc

  • Dentist
  • Chula Vista, CA
National Provider Identifier
1952576456
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43439 Issued in CA
Legal business name
ERIC JOHN R EUSEBIO DMD INC
Practice address
2127 Olympic Parkway
#1003
Chula Vista, CA 91915
Phone
(619) 482-1962
Fax
(619) 482-1417
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Eric John R Eusebio, DMDNPI 1437317427
Title
Owner President
Phone
(619) 482-1962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 43439 CA Primary

Addresses

Primary practice location

2127 Olympic Parkway
#1003
Chula Vista, CA 91915

Mailing address

2127 Olympic Parkway
#1003
Chula Vista, CA 91915
Phone (619) 482-1962

Other names 1

  • Smiles of Eastlake Other name

National Provider Directory

National Provider Directory

Locations

2127 Olympic Pkwy
Ste 1003
Chula Vista, CA 91915
Phone (619) 482-1962

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1952576456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 OLYMPIC PARKWAY",
            "address_2": "#1003",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91915",
            "telephone_number": "619-482-1962",
            "fax_number": "619-482-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 OLYMPIC PARKWAY",
            "address_2": "#1003",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91915",
            "telephone_number": "619-482-1962",
            "fax_number": "619-482-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC JOHN R EUSEBIO DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "EUSEBIO",
        "authorized_official_first_name": "ERIC JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "619-482-1962",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles of Eastlake",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.