Organization Active NPI

Nazli Keri DDS a Professional Corp

  • Pediatric Dentistry
  • Chula Vista, CA
National Provider Identifier
1962800490
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
NAZLI KERI DDS A PROFESSIONAL CORP
Practice address
345 F St Ste 260
Chula Vista, CA 91910-2649
Phone
(619) 585-8500
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Nicole Potts
Title
Manager
Phone
(619) 216-7336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X CA Primary

Addresses

Primary practice location

345 F St Ste 260
Chula Vista, CA 91910-2649

Mailing address

2226 Otay Lakes Rd Ste a
Chula Vista, CA 91915-1010
Phone (619) 216-7336

Other names 1

  • the superdentists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1962800490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 OTAY LAKES RD STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151010",
            "telephone_number": "619-216-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 F ST STE 260",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102649",
            "telephone_number": "619-585-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZLI KERI DDS A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-216-7336"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the superdentists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 16, 2014; 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.