Dr.M. Zaida Carbajal Dental Practice

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

41065 Issued in CA

Legal business name

DR.M. ZAIDA CARBAJAL DENTAL PRACTICE

Practice address

611 N Euclid Ave
Ontario, CA 91762-3223

Phone

(909) 235-4148

Fax

(909) 235-4636

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. M Zaida Carbajal, D.D.S

Title

Dentist

Phone

(951) 279-2700

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.

• M Zaida Carbajal, D.D.S

  • General Practice Dentistry
  • Ontario, CA
  • NPI 1194777532
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1043414931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623223",
            "telephone_number": "909-235-4148",
            "fax_number": "909-235-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623223",
            "telephone_number": "909-235-4148",
            "fax_number": "909-235-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.M. ZAIDA CARBAJAL DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "CARBAJAL",
        "authorized_official_first_name": "M ZAIDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-279-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "41065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Ontario, CA
• Providers in Ontario, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.