Joseph Ceravolo, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

48583 Issued in CA

Practice address

2080 Century Park E Ste 1801
Century City, CA 90067-2021

Phone

(310) 717-5932

Fax

(310) 553-5952

NPI assigned

Dec 5, 2006

Last updated

Jul 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Joseph Ceravolo DDS Inc

  • Endodontics
  • Santa Monica, CA
  • NPI 1457521361
  NPD Authorized official
• Dr. Mahnaz Zandi D.D.S. Corp

  • Periodontics
  • Los Angeles, CA
  • NPI 1871285742
  NPD
• Paul B. Palmer D.D.S., Inc

  dba Culver Del Rey Dental Center

  • Dentist
  • Los Angeles, CA
  • NPI 1285736413
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1548328164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 CULVER BLVD STE 274",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937704",
            "telephone_number": "310-998-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1801",
            "city": "CENTURY CITY",
            "state": "CA",
            "postal_code": "900672021",
            "telephone_number": "310-717-5932",
            "fax_number": "310-553-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERAVOLO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "48583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aid America Corporation
• Alan Rosenbach MD Inc
• Barry Kashfian DMD
• Bellaire Health & Rehabilitation
• Century City Orthopedic Surgery Center, LLC
• Patricia J. Chang, M.D.
• Jeffrey Dizon
• Abbigail Lynn Fietzer, DPT
• Jordan Sophie Fragen
• Brittany Franks, DPT

• Endodontics in Century City, CA
• Providers in Century City, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.