Organization Active NPI

DC Dental, Inc

  • Dental Clinic/Center
  • Carolina, PR
National Provider Identifier
1306495023
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DC DENTAL, INC
Practice address
61 Calle Domingo Caceres W
Carolina, PR 00985-6010
Phone
(787) 769-6880
NPI assigned
Sep 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Rafael Angel Diaz Cancel, DMDNPI 1669470654
Title
DMD
Phone
(787) 510-4519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

61 Calle Domingo Caceres W
Carolina, PR 00985-6010

Mailing address

PO Box 840
Carolina, PR 00986-0840
Phone (787) 769-6880

Other identifiers 1

IdentifierTypeStateIssuer
038819600MedicaidPR

National Provider Directory

National Provider Directory

Locations

61 Calle Domingo Caceres W
Carolina, PR 00985
Phone (787) 750-2660

Practitioners & affiliated clinicians

Practitioners 1

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": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1306495023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860840",
            "telephone_number": "787-769-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CALLE DOMINGO CACERES W",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009856010",
            "telephone_number": "787-769-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ CANCEL",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "787-510-4519",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038819600",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.