Carlos Alberto Dongo, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40806 Issued in CA

Practice address

861 Harold PL Ste 303
Chula Vista, CA 91914-4555

Phone

(619) 216-0166

Fax

(619) 216-1672

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Carlos a. Dongo D.D.S., Inc

  • Dentist
  • National City, CA
  • NPI 1437554060
  NPD (past) Authorized official

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1427018332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 HAROLD PL STE 303",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144555",
            "telephone_number": "619-216-0166",
            "fax_number": "619-216-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 HAROLD PL STE 303",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144555",
            "telephone_number": "619-216-0166",
            "fax_number": "619-216-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONGO",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulina Dominguez
• Anjali Pillay Dominiack, DPT
• Amanda Donado
• Casey Donahoe
• Tammy M Dong, MD
• Alicia Doolittle, DPT
• Christina Dorchinsky
• Michaela Rayann Dorssom
• Chloe Dorworth
• Cristina Dos Santos

• General Practice Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.