NPIMap

Organization Active NPI

Richard J Ewing DDS Inc.

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1992394225
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RICHARD J EWING DDS INC.
Practice address
3340 Kemper St Ste 201
San Diego, CA 92110-4908
Phone
(619) 224-2828
NPI assigned
Jan 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Richard J Ewing, DDSNPI 1316987415
Title
Ceo
Phone
(619) 408-7755

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3340 Kemper St Ste 201
San Diego, CA 92110-4908

Mailing address

3340 Kemper St Ste 201
San Diego, CA 92110-4908
Phone (619) 224-2828

National Provider Directory

National Provider Directory

Locations

3340 Kemper St
Ste 201
San Diego, CA 92110
Phone (619) 224-2828

Practitioners & affiliated clinicians

Practitioners 5

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": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1992394225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 KEMPER ST STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104908",
            "telephone_number": "619-224-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 KEMPER ST STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104908",
            "telephone_number": "619-224-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J EWING DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-408-7755",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 12, 2021; 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.