Carpio Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CARPIO DENTAL CORPORATION

Doing business as

Eastlake Modern Dentistry Dental Group

Practice address

1690 Millenia Ave Ste 102
Chula Vista, CA 91915-2889

Phone

(619) 348-5324

NPI assigned

Jan 25, 2019

Last updated

Feb 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emiliano Navejas Carpio, DDS

Title

DDS/Owner

Phone

(619) 348-5324

Specialties & licenses 1

Addresses

Other names 1

• Eastlake Modern Dentistry Dental Group Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra Nicole Fong, DDS

  • General Practice Dentistry
  • Chula Vista, CA
  • NPI 1124707989
  NPD (past)
• James Kamada

  • Dentist
  • Chula Vista, CA
  • NPI 1336727031
  NPD (past)

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1043774854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 MILLENIA AVE STE 102",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152889",
            "telephone_number": "619-348-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARPIO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "CARPIO",
        "authorized_official_first_name": "EMILIANO",
        "authorized_official_middle_name": "NAVEJAS",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "619-348-5324",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastlake Modern Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eastlake Modern Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tais Carmo
• Ruben Carmona, MD
• Katie L Carnot
• Caroll Toledo Nader M D a Prof Copr (Caroll Toledo M D)
• Jenna Marie Carpenter, AMFT
• Arnett Carraby, MD
• Samantha Ann Carranza-Esparza
• Ashleigh Carranza
• Catalina Carranza
• Isaac Carranza

• Dentist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.