Active NPI
Carlos Leoncio Torres, DDS
- General Practice Dentistry
- San Bernardino, CA
National Provider Identifier
1093837080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50685
- Practice address
- 1755 N D St
San Bernardino, CA 92405-4417 - Phone
- (909) 882-7686
- Fax
- (909) 713-7300
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50685 | CA | Primary |
Addresses
Primary practice location
1755 N D St
San Bernardino, CA 92405-4417
Mailing address
25444 Van Leuven St
Loma Linda, CA 92354-2335
Phone (909) 478-9120
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 |
|---|---|---|---|
| 50685 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093837080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25444 VAN LEUVEN ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542335",
"telephone_number": "909-478-9120",
"fax_number": "909-713-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 N D ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924054417",
"telephone_number": "909-882-7686",
"fax_number": "909-713-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "CARLOS",
"middle_name": "LEONCIO",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.