Active NPI
Gerardo Alberto Toledo, D.D.S.
- Endodontics
- Redlands, CA
National Provider Identifier
1518170539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 56766
- Practice address
- 1233 Brookside Ave
Redlands, CA 92373-4402 - Phone
- (909) 658-5225
- NPI assigned
- May 7, 2007
- Last updated
- Aug 1, 2008
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 56766 | CA | Primary |
Addresses
Primary practice location
1233 Brookside Ave
Redlands, CA 92373-4402
Mailing address
527 Camino Real
Redlands, CA 92373-7120
Phone (909) 658-5225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56766 | Other | CA | CALIFORNIA DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56766 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1518170539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 CAMINO REAL",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923737120",
"telephone_number": "909-658-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 BROOKSIDE AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734402",
"telephone_number": "909-658-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLEDO",
"first_name": "GERARDO",
"middle_name": "ALBERTO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "56766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA DENTAL LICENSE",
"identifier": "56766",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.