Organization Active NPI

Cardenas Duarte Dental Partnership

  • General Practice Dentistry
  • Campbell, CA
National Provider Identifier
1508599887
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CARDENAS DUARTE DENTAL PARTNERSHIP
Practice address
2505 S Bascom Ave
Campbell, CA 95008-4302
Phone
(408) 644-9414
NPI assigned
Jul 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Ms. Monica D Duartw, DDS
Title
Dentist/Managing Partner
Phone
(408) 644-9414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2505 S Bascom Ave
Campbell, CA 95008-4302

Mailing address

2505 S Bascom Ave
Campbell, CA 95008-4302
Phone (408) 644-9414

Other identifiers 1

IdentifierTypeStateIssuer
1477782555OtherCANPI

Other names 1

  • Signature Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2505 S Bascom Ave
Campbell, CA 95008
Phone (408) 377-8910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1508599887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S BASCOM AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950084302",
            "telephone_number": "408-644-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S BASCOM AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950084302",
            "telephone_number": "408-644-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDENAS DUARTE DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "DUARTW",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/MANAGING PARTNER",
        "authorized_official_telephone_number": "408-644-9414",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477782555",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.