Organization Active NPI

Yarelis Cartagena DMD, PA

  • General Practice Dentistry
  • Lakeland, FL
National Provider Identifier
1245572239
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18885 Issued in FL
Legal business name
YARELIS CARTAGENA DMD, PA
Doing business as
Aspen Dental
Practice address
3436 S Florida Ave
Lakeland, FL 33803-4765
Phone
(863) 607-4700
Fax
(863) 607-4434
NPI assigned
Mar 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Amy Marko
Title
VP Insurance Opps
Phone
(866) 273-8204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 18885 FL Primary

Addresses

Primary practice location

3436 S Florida Ave
Lakeland, FL 33803-4765

Mailing address

PO Box 3189
Syracuse, NY 13220-3189
Phone (866) 273-8204

Other names 1

  • Aspen Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3436 S Florida Ave
Lakeland, FL 33803
Phone (863) 286-0381

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1245572239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "866-273-8204",
            "fax_number": "866-803-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034765",
            "telephone_number": "863-607-4700",
            "fax_number": "863-607-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARELIS CARTAGENA DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "MARKO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP INSURANCE OPPS",
        "authorized_official_telephone_number": "866-273-8204"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "18885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.