JORGE VIZCARRA
NPI 1902307697
Dentist - General Practice in Tijuana, BAJA CALIFORNIA

Active since February 27, 2018
RUTA HIDALGO #9720, TIJUANA, BAJA CALIFORNIA 22223(619) 488-3200(866) 272-6924 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About JORGE VIZCARRA

This page provides the complete NPI Profile along with additional information for Jorge Vizcarra, a provider established in Tijuana, operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1902307697 assigned on February 2018. The practitioner's primary taxonomy code is 1223G0001X with license number 4125102 (). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Jorge Vizcarra. The authorized official of this NPI record is Dr. Jorge Vizcarra (Dentist)

NPI
1902307697 Verify this NPI
Provider Legal Name
JORGE VIZCARRA
Other Organization Name
JORGE VIZCARRA
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
RUTA HIDALGO #9720 TIJUANA, BAJA CALIFORNIA 22223
Location Phone
(619) 488-3200
Location Fax
(866) 272-6924
Mailing Address
RUTA HIDALGO #9720 TIJUANA, BAJA CALIFORNIA 22223
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2018
Last Update Date
02-27-2018
Code Navigator

A dentist like Jorge Vizcarra is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
4125102
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JORGE VIZCARRA

Authorized Official Title
DENTIST
Authorized Official Phone
(619) 488-3200

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902307697, enumerated as an "organization" on February 27, 2018.

The provider is located at RUTA HIDALGO #9720 TIJUANA, BAJA CALIFORNIA 22223 and the phone number is (619) 488-3200.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.