MIRA MESA DENTAL & ORTHODONTIC OFFICE - NPI 1124104336

Q: What is Mira Mesa Dental & Orthodontic Office's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

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About Mira Mesa Dental & Orthodontic Office NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRA MESA DENTAL & ORTHODONTIC OFFICE (NPI 1124104336) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since October 2006. The organization lists Cynthia A Johnson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124104336

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMIRA MESA DENTAL & ORTHODONTIC OFFICE

Location Address9750 MIRAMAR ROAD, SUITE 260San Diego, CA 92126

Mailing Address9750 Miramar Road, Suite 260San Diego, CA 92126 · (858) 566-5050 · Fax (858) 566-7414

Phone(858) 566-5050

Fax(858) 566-7414

Organization SubpartNo

Authorized OfficialCynthia A JohnsonAdministrator · (858) 566-5050

Enumeration DateOctober 31, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1124104336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 20326

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9750 MIRAMAR ROAD, San Diego, CA 92126

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Other Identifiers 1

Other858859CA · United Concordia Ins

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL R. REIDER, PH.D., APC

Psychologist (Clinical)

9750 MIRAMAR ROAD, SUITE 210
SAN DIEGO, CA 92126

San Diego County (888) 293-3182

DR. MICHAEL ROBERT REIDER PH.D.

Psychologist (Clinical)

9750 MIRAMAR ROAD, SUITE 210
SAN DIEGO, CA 92126

San Diego County (888) 293-3182

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mira Mesa Dental & Orthodontic Office's NPI number?

The NPI number for Mira Mesa Dental & Orthodontic Office is 1124104336. It was assigned to this organization in the NPPES registry on October 31, 2006.

Where is Mira Mesa Dental & Orthodontic Office located?

Mira Mesa Dental & Orthodontic Office is located at 9750 Miramar Road Suite 260, San Diego, CA 92126. The listed phone number is (858) 566-5050.

What is Mira Mesa Dental & Orthodontic Office's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mira Mesa Dental & Orthodontic Office was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.