Evelyn G. Carlos DMD Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31583 Issued in CA

Legal business name

EVELYN G. CARLOS DMD INC.

Practice address

5824 Wish Ave
Encino, CA 91316-1458

Phone

(818) 551-9664

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Evelyn G. Carlos, D.M.D.NPI 1144616756

Title

President

Phone

(818) 551-9664

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelyn G Carlos, DMD

  • General Practice Dentistry
  • Encino, CA
  • NPI 1144616756
  NPD Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013933647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 WISH AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161458",
            "telephone_number": "818-551-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 WISH AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161458",
            "telephone_number": "818-551-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN G. CARLOS DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARLOS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-551-9664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Encino, CA
• Providers in Encino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.