Jacqueline Larios Cardenas

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

RDA93938 Issued in CA

Practice address

7005 N Chestnut Ave Ste 101
Fresno, CA 93720-0348

Phone

(559) 299-3949

Fax

(559) 854-1013

NPI assigned

Feb 20, 2020

Sex

Female

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)

Not 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.

• Brent David Powell DMD Inc

  • Pediatric Dentistry
  • Fresno, CA
  • NPI 1013312289
  NPD (past)
• Powell Pediatric Dentistry Chestnut Partnership

  • Pediatric Dentistry
  • Fresno, CA
  • NPI 1861979544
  NPD (past)

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1366075020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 N CHESTNUT AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200348",
            "telephone_number": "559-299-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 N CHESTNUT AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200348",
            "telephone_number": "559-299-3949",
            "fax_number": "559-854-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIOS CARDENAS",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "RDA93938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xavier David Lara, M.D.
• Jeannine Laramie, MD
• Mythe Laramie, M.D.
• Giovanni Jacqueline Lares, PHARM.D.
• Artemio J Largoza, MD
• Samantha Larios Maciel
• Amanda Marie Larios, LCSW
• Jeannette Larios
• Joe Angel Larios
• Madeline Larios

• Dental Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.