Active NPI
Carmy Michael, DDS Corp.
Doing business as Dental Care of Rialto
- General Practice Dentistry
- Rialto, CA
National Provider Identifier
1376021576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CARMY MICHAEL, DDS CORP.
- Doing business as
- Dental Care of Rialto
- Practice address
- 1817 N Riverside Ave
Rialto, CA 92376-8069 - Phone
- (909) 879-1024
- NPI assigned
- Jul 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carmy Gabriel Michael, DDS
- Title
- Ceo
- Phone
- (714) 874-6069
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1817 N Riverside Ave
Rialto, CA 92376-8069
Mailing address
1817 N Riverside Ave
Rialto, CA 92376-8069
Phone (909) 879-1024
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730216599 | Medicaid | MI | |
| 12-4767679 | Medicaid | MI |
Other names 1
- Dental Care of Rialto
National Provider Directory
National Provider DirectoryLocations
1817 N Riverside Ave
Rialto, CA 92376
Phone (909) 879-1024
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Tustin, CA
- NPI 1811033541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720742400000",
"number": "1376021576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 N RIVERSIDE AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923768069",
"telephone_number": "909-879-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 N RIVERSIDE AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923768069",
"telephone_number": "909-879-1024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARMY MICHAEL, DDS CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-31",
"last_updated": "2024-07-12",
"certification_date": "2024-06-29",
"status": "A",
"authorized_official_last_name": "MICHAEL",
"authorized_official_first_name": "CARMY",
"authorized_official_middle_name": "GABRIEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-874-6069",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730216599",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12-4767679",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dental Care of Rialto",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dental Care of Rialto",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.