Fernando Astorga

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0231 Issued in NC

Practice address

Carolina Dentistry Campus B 7450 385 S Columbia St
Chapel Hill, NC 27599-2532

Phone

(704) 905-9090

NPI assigned

Apr 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 4, 2020 through Nov 4, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unc School of Dentistry

  • Dentist
  • Chapel Hill, NC
  • NPI 1255783197
  NPD (past)

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1093158875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13065 E 17TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAROLINA DENTISTRY CAMPUS B 7450 385 S COLUMBIA ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275992532",
            "telephone_number": "704-905-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTORGA",
        "first_name": "FERNANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "0231",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "150808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Rae Asleson
• Ali Asma, MD
• Burcu Asma, MD
• David Orland Aspenson, PH.D.
• Sara Hajamo Assar, LCSW-A
• Emma Astrike-Davis, MD
• Silvia Ataide Pithan
• Robin Lee Atha, M.D.
• Mohammad Atieh
• Kathryn Kay Atkins, MD

• General Practice Dentistry in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.