Active NPI
William V Carlo, D.M.D.
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1487765970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 26256
- Practice address
- 9040 Friars Rd
Suite 535
San Diego, CA 92108-5859 - Phone
- (619) 285-0950
- Fax
- (619) 285-0956
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 26256 | CA | Primary |
Addresses
Primary practice location
9040 Friars Rd
Suite 535
San Diego, CA 92108-5859
Mailing address
9040 Friars Rd
Suite 535
San Diego, CA 92108-5859
Phone (619) 285-0950
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: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 9, 2016 through Feb 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1487765970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 FRIARS RD",
"address_2": "SUITE 535",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921085859",
"telephone_number": "619-285-0950",
"fax_number": "619-285-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 FRIARS RD",
"address_2": "SUITE 535",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921085859",
"telephone_number": "619-285-0950",
"fax_number": "619-285-0956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLO",
"first_name": "WILLIAM",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "26256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.