Coeli Tuvera DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55719 Issued in CA

Legal business name

COELI TUVERA DDS INC

Practice address

312 N Gaffey St
Suite 201
San Pedro, CA 90731-1955

Phone

(310) 833-7348

Fax

(310) 833-0697

NPI assigned

Apr 1, 2012

Organization subpart

No

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

Authorized official

Name

Coeli Tuvera, DDSNPI 1306046990

Title

Dentist/ Owner

Phone

(310) 833-7348

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Coeli Tuvera, D.D.S.

  • Dentist
  • San Pedro, CA
  • NPI 1306046990
  NPD (past) Authorized official
• Branislav Madzarevic, DDS

  • Dentist
  • San Pedro, CA
  • NPI 1639340425
  NPD (past)

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1053687236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N GAFFEY ST",
            "address_2": "SUITE 201",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907311955",
            "telephone_number": "310-833-7348",
            "fax_number": "310-833-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N GAFFEY ST",
            "address_2": "SUITE 201",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907311955",
            "telephone_number": "310-833-7348",
            "fax_number": "310-833-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COELI TUVERA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-01",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "TUVERA",
        "authorized_official_first_name": "COELI",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "310-833-7348",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ebony K Cobb, MA, AMFT, APCC
• Dennis Robert Coffee, M.D.
• Tasha Collins
• Rondii Raye Colson
• Community Evolution Acquisition
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• General Practice Dentistry in San Pedro, CA
• Providers in San Pedro, 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 Apr 2, 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.