Active NPI
Goncalo Manuel Bartolo Carames, DDS
- Periodontics
- Menlo Park, CA
National Provider Identifier
1093511784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 019.035711
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.035711 | IL | MD | Periodontist |
| DE61007350 | WA | MD | Periodontist |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DE61007350 | WA | |
| Periodontics | 1223P0300X | 019.035711 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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.