DENTAL SPECIALTY ASSOCIATES (NPI# 1992795272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992795272 |
| Entity Type | Organization |
| Organization Name | DENTAL SPECIALTY ASSOCIATES |
| Practice Address |
477 N El Camino Real B203 Encinitas CA 92024-1328 |
| Practice Telephone | 7609421131 |
| Practice Fax Number | 7609421708 |
| Mailing Telephone | 7609421131 |
| Mailing Fax Number | 7609421708 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN PATRICK DAVIS (OWNER) |
| Authorized Official Telephone | 7609421131 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
26834 | CA | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
32635 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114180320 | Dental Specialty Associates | Clinic/Center | 2730 S Val Vista Dr, Suite 164, Gilbert, AZ 85295-1675 | 2008-07-08 |
| Street Address |
477 N EL CAMINO REAL B203 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581183 | North County Radiation Oncology | Specialist | 477 N El Camino Real, Ste D100, Encinitas, CA 92024-1328 | 2005-07-09 |
| 1184238933 | Epilepsy Rheumatology and Arthritis Specialty Wellness Center PC | Psychiatry & Neurology | 477 N El Camino Real, Ste C208, Encinitas, CA 92024-1332 | 2020-08-31 |
| 1790253631 | Lacy Lofties | Nurse Practitioner | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2018-11-08 |
| 1194243212 | Stephen Andrew Rivera | Physician Assistant | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2017-09-08 |
| 1922539865 | Michael Dennis Hadley | Family Medicine | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2017-03-22 |
| 1922553908 | Shannon D Stadelmann | Nurse Practitioner | 477 N El Camino Real, Suite 208a, Encinitas, CA 92024-1328 | 2016-08-19 |
| 1174077507 | Cortney Franz | Nurse Practitioner | 477 N El Camino Real, Suite D200, Encinitas, CA 92024-1328 | 2016-08-15 |
| 1306297072 | Mary K. Tucker | Physician Assistant | 477 N El Camino Real, Encinitas, CA 92024 | 2016-06-23 |
| 1093163032 | Jennifer Price | Physician Assistant | 477 N El Camino Real, Suite A202, Encinitas, CA 92024-1328 | 2016-05-31 |
| 1124485784 | San Diego Eyelid Specialists, Inc. | Ophthalmology | 477 N El Camino Real, A304, Encinitas, CA 92024-1328 | 2016-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447403811 | Matthew John Davis | Dentist | 477 N El Camino Real Ste B203, Encinitas, CA 92024-1353 | 2008-10-29 |
| 1063505329 | Tom D Keller | Dentist | 1443 Encinitas Blvd, Encinitas, CA 92024-2931 | 2006-10-01 |
| 1326293374 | Stephanie Lee Dixon | Dentist | 477 N El Camino Real Ste B203, Encinitas, CA 92024-1353 | 2008-11-18 |
| 1215181045 | John Patrick Davis | Dentist | 477 N El Camino Real Ste B203, Encinitas, CA 92024-1353 | 2008-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.