Individual provider Active NPI

Goncalo Manuel Bartolo Carames, DDS

  • Periodontics
  • Menlo Park, CA
National Provider Identifier
1093511784
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
019.035711 Issued in IL
Practice address
1081 Sierra Dr
Menlo Park, CA 94025-6637
Phone
(310) 433-5581
NPI assigned
Feb 22, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.035711ILMDPeriodontist
DE61007350WAMDPeriodontist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DE61007350 WA
Periodontics 1223P0300X 019.035711 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1081 Sierra Dr
Menlo Park, CA 94025-6637

Mailing address

1081 Sierra Dr
Menlo Park, CA 94025-6637
Phone (310) 433-5581

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2025.

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1093511784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 SIERRA DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256637",
            "telephone_number": "310-433-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 SIERRA DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256637",
            "telephone_number": "310-433-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLO CARAMES",
        "first_name": "GONCALO",
        "middle_name": "MANUEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE61007350",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "019.035711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.