Active NPI
Carson-Auerbach Airway Centered Dental Group PC
- General Practice Dentistry
- Agoura Hills, CA
National Provider Identifier
1013637008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.