Alexander Desta, D.D.S.
Alexander Desta, D.D.S. is a provider specialising in Endodontics in San Diego, CA, registered under NPI 1477702629. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 43000 MIDWAY AVE BLDG 595, San Diego, CA 92140. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 57679 | CA | Endodontics primary |
| 57679 | CA | Dentist |
This provider holds licence 57679 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Endodontics covers
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. NUCC Health Care Provider Taxonomy, code 1223E0200X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223E0200X | Endodontics Endodontics | 57679 | CA | primary |
| 122300000X | Dentist | 57679 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1477702629 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 11, 2008 |
| Last updated | Feb 27, 2020 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | D.D.S. |
| Practice address |
43000 MIDWAY AVE BLDG 595 San Diego, CA 92140 (619) 524-4009 |
| Mailing address |
11447 MONTICOOK CT San Diego, CA 92127 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 7 | 7 | 7 | 0 | 2 | 6 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 5 | 7 | 5 | 0 | 4 | 6 | 4 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.