Dr Carla Bryan DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DV25362 Issued in CA

Legal business name

DR CARLA BRYAN DDS

Practice address

657 Camino de Los Mares Ste 138
San Clemente, CA 92673-2810

Phone

(949) 487-6780

Fax

(949) 487-6781

NPI assigned

Feb 26, 2013

Last updated

Feb 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carla Peterson Bryan, DDSNPI 1144329665

Title

Owner

Phone

(949) 487-6780

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carla Peterson Bryan, DDS

  • General Practice Dentistry
  • San Clemente, CA
  • NPI 1144329665
  NPD (past) Authorized official
• Anmar Obaidi, D.D.S.

  • General Practice Dentistry
  • San Clemente, CA
  • NPI 1255583126
  NPD (past)
• Tricia Lynette Williams, DDS

  • Dentist
  • San Clemente, CA
  • NPI 1699874107
  NPD (past)

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1205176468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 CAMINO DE LOS MARES STE 138",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732810",
            "telephone_number": "949-487-6780",
            "fax_number": "949-487-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 CAMINO DE LOS MARES STE 138",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732810",
            "telephone_number": "949-487-6780",
            "fax_number": "949-487-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CARLA BRYAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "PETERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-487-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DV25362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Peter Douglas, RN
• Doula Vine
• Hannah Elizabeth Dowell
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• Dr Andrea Roberson D.O. Inc
• Dr. Alice P. Moran, DMD, Apc
• Jonathan R Draper, D.M.D
• Larry Mark Drechsler, PHARM.D.
• Dual Diagnosis Treatment Center, Inc. (Sovereign By The Sea I)
• Erin Kathleen Duffy

• Dentist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.