Carlos J Parajon, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

4766 Issued in WI

Practice address

30486 Avenida de Las Banderas Ste a
Rancho Santa Margarita, CA 92688-3948

Phone

(949) 216-9090

Fax

(929) 713-9471

NPI assigned

Nov 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeshore Family Dental Center Greendale LLC

  • Dentist
  • Greendale, WI
  • NPI 1932982113
  NPD (past)
• Lakeshore Family Dental Center LLC

  • Dentist
  • Glendale, WI
  • NPI 1306629589
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1285813626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173841",
            "telephone_number": "414-352-1600",
            "fax_number": "414-352-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30486 AVENIDA DE LAS BANDERAS STE A",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883948",
            "telephone_number": "949-216-9090",
            "fax_number": "929-713-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAJON",
        "first_name": "CARLOS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "4766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gene J Pak, DDS
• Rena Alexa Palmer, PA-C
• Pan Patel
• Tiffany Lynn Panick, P.T.
• Parajon Dental Group Inc
• Jenny Y Park, O.D.
• Anika Rajesh Patel, PHARMD
• Deepak Patel, MD
• Pankaj Patel, R.PH
• Paul a Day DDS a Professional Dental Corporation

• Prosthodontics in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.