Organization Active NPI

Carina a. Dizon DMD,Apc

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1336209600
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49301 Issued in CA
Legal business name
CARINA A. DIZON DMD,APC
Practice address
3756 W Avenue 40
Suite 1C
Los Angeles, CA 90065-3665
Phone
(323) 255-1700
Fax
(323) 255-1829
NPI assigned
Dec 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. Carina A Dizon-Joven, DMD
Title
President
Phone
(323) 255-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49301 CA Primary

Addresses

Primary practice location

3756 W Avenue 40
Suite 1C
Los Angeles, CA 90065-3665

Mailing address

3756 W Avenue 40
Suite 1C
Los Angeles, CA 90065-3665
Phone (323) 255-1700

National Provider Directory

National Provider Directory

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": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1336209600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 W AVENUE 40",
            "address_2": "SUITE 1C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653665",
            "telephone_number": "323-255-1700",
            "fax_number": "323-255-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 W AVENUE 40",
            "address_2": "SUITE 1C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653665",
            "telephone_number": "323-255-1700",
            "fax_number": "323-255-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARINA A. DIZON DMD,APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "DIZON-JOVEN",
        "authorized_official_first_name": "CARINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-255-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 20, 2007; 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.