Marissa M Carvalho DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MARISSA M CARVALHO DDS INC

Doing business as

Coconut Smiles Pediatric Dentistry

Practice address

2780 Skypark Dr Ste 240
Torrance, CA 90505-5341

Phone

(424) 458-6007

Fax

(424) 337-8055

NPI assigned

Oct 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Marissa Margaret Carvalho, DDSNPI 1487111571

Title

President

Phone

(424) 458-6007

Specialties & licenses 1

Addresses

Other names 1

• Coconut Smiles Pediatric Dentistry Doing business as

Locations

Practitioners 1

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

• Marissa Margaret Carvalho, DDS

  • Pediatric Dentistry
  • Torrance, CA
  • NPI 1487111571
  NPD Authorized official

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1144048661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 W 165TH ST",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602926",
            "telephone_number": "310-408-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SKYPARK DR STE 240",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055341",
            "telephone_number": "424-458-6007",
            "fax_number": "424-337-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA M CARVALHO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "CARVALHO",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-458-6007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coconut Smiles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.