Organization Active NPI

Carson-Auerbach Airway Centered Dental Group PC

  • General Practice Dentistry
  • Agoura Hills, CA
National Provider Identifier
1013637008
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CARSON-AUERBACH AIRWAY CENTERED DENTAL GROUP PC
Practice address
30200 Agoura Rd Ste 270
Agoura Hills, CA 91301-5434
Phone
(818) 889-0400
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen Carson, DDS
Title
Owner
Phone
(818) 889-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

30200 Agoura Rd Ste 270
Agoura Hills, CA 91301-5434

Mailing address

30200 Agoura Rd Ste 270
Agoura Hills, CA 91301-5434
Phone (818) 889-0400

Other practice location 1

26711 Aliso Creek Rd Ste 200B
Aliso Viejo, CA 92656-4822
Phone (818) 889-0400

Other practice location 2

20271 SW Acacia St Ste 100
Newport Beach, CA 92660-1731
Phone (818) 889-0400

Other names 1

  • CA Airway Centered Dental Group Other name

National Provider Directory

National Provider Directory

Locations

26711 Aliso Creek Rd
Ste 200B
Aliso Viejo, CA 92656
Phone (949) 360-0845

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1013637008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 270",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015434",
            "telephone_number": "818-889-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 270",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015434",
            "telephone_number": "818-889-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26711 Aliso Creek Rd Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Aliso Viejo",
            "state": "CA",
            "postal_code": "926564822",
            "country_code": "US",
            "telephone_number": "818-889-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20271 SW Acacia St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926601731",
            "country_code": "US",
            "telephone_number": "818-889-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARSON-AUERBACH AIRWAY CENTERED DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-889-0400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CA Airway Centered Dental Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.