SAN DIEGO PROSTHODONTICS
NPI 1144711979
Clinic/Center - Dental in La Mesa, CA

Active since May 29, 2018
8860 CENTER DR STE 460, LA MESA, CA 91942(619) 463-3773(619) 463-1272 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About San Diego Prosthodontics NPPES

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

SAN DIEGO PROSTHODONTICS (NPI 1144711979) is a healthcare organization registered as a dental in La Mesa, California and active in the NPI registry since May 2018. The organization lists Scott A Recksiedler, President, as its authorized official.

NPPES Registry Identity

NPI1144711979
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSCOTT A RECKSIEDLER DMD A DENTAL CORPORATION
Location Address8860 CENTER DR STE 460La Mesa, CA 91942-7001
Mailing Address8860 Center Dr Ste 460La Mesa, CA 91942-7001 · (619) 463-3773 · Fax (619) 463-1272
Fax(619) 463-1272
Organization SubpartNo
Authorized OfficialScott A RecksiedlerPresident · (619) 463-3773
Enumeration DateMay 29, 2018
✔ NPI 1144711979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in CA · 60747
8860 CENTER DR STE 460, La Mesa, CA 91942

Other Names 1

Doing Business AsSan Diego Prosthodontics

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Diego Prosthodontics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Diego Prosthodontics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1407148216
8860 CENTER DR SUITE 460
La Mesa, CA 91942
(619) 463-3773
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Scott A Recksiedler Dmd A Dental Corporation's NPI number?

The NPI number for Scott A Recksiedler Dmd A Dental Corporation is 1144711979. It was assigned to this organization in the NPPES registry on May 29, 2018. The provider is doing business as San Diego Prosthodontics.

Where is Scott A Recksiedler Dmd A Dental Corporation located?

Scott A Recksiedler Dmd A Dental Corporation is located at 8860 Center Dr Ste 460, La Mesa, CA 91942. The listed phone number is (619) 463-3773.

What is Scott A Recksiedler Dmd A Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Is Scott A Recksiedler Dmd A Dental Corporation enrolled in Medicare?

Yes. Scott A Recksiedler Dmd A Dental Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scott A Recksiedler Dmd A Dental Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Scott A Recksiedler Dmd A Dental Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Scott A Recksiedler Dmd A Dental Corporation was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.