Carlos Fernando Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CARLOS FERNANDO DENTAL CORPORATION

Doing business as

AMAZING SMILE DENTAL

Practice address

999 N Tustin Ave Ste 9&10
Santa Ana, CA 92705-3528

Phone

(714) 856-7135

Fax

(714) 960-3309

NPI assigned

Jan 14, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Lupe A Gome

Title

Administrator

Phone

(714) 856-7135

Specialties & licenses 1

Addresses

Other names 1

• AMAZING SMILE DENTAL Doing business as

Locations

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1558835496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 ATLANTA AVE UNIT 7891",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926152613",
            "telephone_number": "714-856-7135",
            "fax_number": "714-960-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE STE 9&10",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053528",
            "telephone_number": "714-856-7135",
            "fax_number": "714-960-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS FERNANDO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "GOME",
        "authorized_official_first_name": "LUPE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-856-7135",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMAZING SMILE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Dan Ancheta Cariaso
• Caringmiles Medical Transportation LLC
• Carl S. Smetko DDS Inc
• James B. Carleton, BA, RSCP, CATCI
• Carlo Z. Biscaro,M.D., P.C.
• Carlos J. King, DDS Inc.
• Xeres Dianne Jimenez Carlos, RN
• Richard Carlton, O.T.
• Carmen Terreros MD Inc
• Ashley Carney

• Dental Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.