NPIMap

Organization Active NPI

Carlos Cortez , a Dental Corporation

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1295087211
Registry record updated Oct 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52845 Issued in CA
Legal business name
CARLOS CORTEZ , A DENTAL CORPORATION
Practice address
1330 S Vermont Ave
Los Angeles, CA 90006-4502
Phone
(213) 383-7315
NPI assigned
Oct 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2012

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

Authorized official

Name
Carlos R Cortez, DDS
Title
President
Phone
(818) 391-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 52845 CA Primary

Addresses

Primary practice location

1330 S Vermont Ave
Los Angeles, CA 90006-4502

Mailing address

731 E Verdugo Ave
101
Burbank, CA 91501-3118

Other names 1

  • Vermont Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1330 S Vermont Ave
Los Angeles, CA 90006
Phone (213) 383-7315

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350777600000",
    "number": "1295087211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 E VERDUGO AVE",
            "address_2": "101",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915013118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064502",
            "telephone_number": "213-383-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS CORTEZ , A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-21",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-391-6999",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermont Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2012; 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.