Ofelia K. Costales, D.D.S., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

48250 Issued in CA

Legal business name

OFELIA K. COSTALES, D.D.S., INC.

Practice address

23517 South Main St Ste 102
Carson, CA 90745

Phone

(310) 518-6802

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ofelia Karaan Costales, D.D.S.

Title

President/Owner

Phone

(310) 518-6802

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Masami Hayashi

  • Dentist
  • Carson, CA
  • NPI 1235576620
  NPD (past)

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1043575798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23517 SOUTH MAIN ST STE 102",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90745",
            "telephone_number": "310-518-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23517 SOUTH MAIN ST STE 102",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90745",
            "telephone_number": "310-518-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFELIA K. COSTALES, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "COSTALES",
        "authorized_official_first_name": "OFELIA",
        "authorized_official_middle_name": "KARAAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-518-6802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PIN",
            "identifier": "522096",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chioma Augustina Obidike, RN
• Ndubuisi Chimezie Obioha, NP
• Ocariza Medical Services
• Odon M Lorenzo
• Taiwo Odukoya Odutola, OWNER
• Obiogaranya Ofoegbu
• Chinweike Ogbodo, NP
• Ogban O Ogbu
• Ezenwanyi Ogbuji
• Michael Myungsup Oh, DMD

• Dental Clinic/Center in Carson, CA
• Providers in Carson, 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 Jul 9, 2012; 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.