NPIMap

Organization Active NPI

Carlsbad Family Dentistry

  • Dental Clinic/Center
  • Carlsbad, CA
National Provider Identifier
1225523855
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CARLSBAD FAMILY DENTISTRY
Doing business as
Carlsbad Family Dentistry
Practice address
2010 Cassia Rd Ste 110
Carlsbad, CA 92009-4210
Phone
(760) 930-8900
NPI assigned
Jun 26, 2018
Organization subpart
Yes
Parent organization
AMTHOR DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Michelle R Gallice
Title
Consultant
Phone
(760) 902-9602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2010 Cassia Rd Ste 110
Carlsbad, CA 92009-4210

Mailing address

151 N Broadway
Blythe, CA 92225-1607
Phone (760) 922-7777

Other names 1

  • Carlsbad Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carlsbad Family Dentistry2 organizations share this tax ID, including this one
Part of
Carlsbad Family Dentistry

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2010 Cassia Rd
Ste 110
Carlsbad, CA 92009
Phone (760) 930-8900

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1225523855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N BROADWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251607",
            "telephone_number": "760-922-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CASSIA RD STE 110",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094210",
            "telephone_number": "760-930-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSBAD FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMTHOR DENTAL CORPORATION",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "GALLICE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "760-902-9602"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlsbad Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carlsbad Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.