1. Home
  2. Directory
  3. California
  4. Carlsbad
  5. Dentist
  6. NPI Profile

SAN DIEGO DENTAL ANESTHESIA
NPI 1710548375
Dentist - Dentist Anesthesiologist in Carlsbad, CA

Active since June 25, 2019
1287 CARLSBAD VILLAGE DRIVE, CARLSBAD, CA 92008(619) 339-0760 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About San Diego Dental Anesthesia NPPES

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

SAN DIEGO DENTAL ANESTHESIA (NPI 1710548375) is a healthcare organization registered as a dentist anesthesiologist in Carlsbad, California and active in the NPI registry since June 2019. The organization lists Tyler Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1710548375
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameSAN DIEGO DENTAL ANESTHESIA
Location Address1287 CARLSBAD VILLAGE DRIVECarlsbad, CA 92008
Mailing Address8677 Villa La Jolla Dr # 1255La Jolla, CA 92037-2354 · (619) 339-0760
Phone(619) 339-0760
Organization SubpartNo
Authorized OfficialTyler JohnsonPresident · (619) 339-0760
Enumeration DateJune 25, 2019
✔ NPI 1710548375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
1287 CARLSBAD VILLAGE DRIVE, Carlsbad, CA 92008
Open in Google Maps ↗

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

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 San Diego Dental Anesthesia's NPI number?

The NPI number for San Diego Dental Anesthesia is 1710548375. It was assigned to this organization in the NPPES registry on June 25, 2019.

Where is San Diego Dental Anesthesia located?

San Diego Dental Anesthesia is located at 1287 Carlsbad Village Drive, Carlsbad, CA 92008. The listed phone number is (619) 339-0760.

What is San Diego Dental Anesthesia's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for San Diego Dental Anesthesia was last updated on June 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.