Joseph Ceravolo DDS Inc

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

48513 Issued in CA

Legal business name

JOSEPH CERAVOLO DDS INC

Practice address

1304 15TH St
Ste 314
Santa Monica, CA 90404-1809

Phone

(310) 394-5879

NPI assigned

Mar 6, 2008

Last updated

Mar 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Ceravolo, DDSNPI 1548328164

Title

Ceo

Phone

(310) 990-1636

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Joseph Ceravolo, DDS

  • Endodontics
  • Century City, CA
  • NPI 1548328164
  NPD Authorized official
• Patricia Lucy Decilla, D.D.S.

  • General Practice Dentistry
  • Santa Monica, CA
  • NPI 1972581601
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1457521361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 CULVER BLVD",
            "address_2": "STE #274",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937704",
            "telephone_number": "310-990-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 15TH ST",
            "address_2": "STE 314",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041809",
            "telephone_number": "310-394-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH CERAVOLO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "CERAVOLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-990-1636",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "48513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jori Adler Marriage & Family Therapy Prof. Corp. (Flow House)
• Jose Ortiz Dental Corp (Alinea Orthodontics)
• Janina Marie Jose, DO
• Rae A Joselson, M.D.
• Joseph a. Rothstein Speech Pathology, P.C.
• Joseph W Landau M D a Medical Corp
• Josephine McNary MD, Inc. (dba CalPsychiatry)
• Paula Staci Josephson Shulman, MD, MPH
• Shrabya Joshee
• Paul Joshu

• Endodontics in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.