Individual provider Active NPI

Carlos Lepe, D.D.S.

  • General Practice Dentistry
  • San Fernando, CA
National Provider Identifier
1437340908
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41456 Issued in CA
Practice address
513 San Fernando Mission Blvd
San Fernando, CA 91340-3933
Phone
(818) 365-6463
Fax
(818) 365-0663
NPI assigned
Aug 8, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41456 CA Primary

Addresses

Primary practice location

513 San Fernando Mission Blvd
San Fernando, CA 91340-3933

Mailing address

513 San Fernando Mission Blvd
San Fernando, CA 91340-3933
Phone (818) 365-6463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Sep 21, 2016 through Sep 21, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lepe Dental Corporation General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1437340908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 SAN FERNANDO MISSION BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403933",
            "telephone_number": "818-365-6463",
            "fax_number": "818-365-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 SAN FERNANDO MISSION BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403933",
            "telephone_number": "818-365-6463",
            "fax_number": "818-365-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPE",
        "first_name": "CARLOS",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

Verify at the official NPI Registry.