Active NPI
Jorge Alberto Urrea, D.D.S.
- Dentist
- San Marcos, CA
National Provider Identifier
1992905061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 54777
- Practice address
- 100 N Rancho Santa Fe Rd
Suite 123
San Marcos, CA 92069-1279 - Phone
- (760) 736-0035
- NPI assigned
- Jul 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 54777 | CA | Primary |
Addresses
Primary practice location
100 N Rancho Santa Fe Rd
Suite 123
San Marcos, CA 92069-1279
Mailing address
100 N Rancho Santa Fe Rd
Suite 123
San Marcos, CA 92069-1279
Phone (760) 734-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54777 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jorge a Urrea D.D.S. Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- San Marcos, CA
- NPI 1760646467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1992905061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N RANCHO SANTA FE RD",
"address_2": "SUITE 123",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920691279",
"telephone_number": "760-734-3660",
"fax_number": "760-295-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N RANCHO SANTA FE RD",
"address_2": "SUITE 123",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920691279",
"telephone_number": "760-736-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URREA",
"first_name": "JORGE",
"middle_name": "ALBERTO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-18",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "54777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.