Individual provider Active NPI

Carlos Sanchez, DDS

  • Dentist
  • San Ysidro, CA
National Provider Identifier
1578827887
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2394636 Issued in CA
Practice address
710 E San Ysidro Blvd
Suite 1007
San Ysidro, CA 92173-3123
Phone
(619) 870-9456
Fax
(916) 785-3404
NPI assigned
Jul 2, 2012
Last updated
Jul 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2394636 CA Primary

Addresses

Primary practice location

710 E San Ysidro Blvd
Suite 1007
San Ysidro, CA 92173-3123

Mailing address

PO Box 426
San Luis, AZ 85349-0426
Phone (619) 870-9456

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

LicenseStateTypeSpecialty
2394636CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonortica Dent All Group, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1578827887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853490426",
            "telephone_number": "619-870-9456",
            "fax_number": "619-785-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E SAN YSIDRO BLVD",
            "address_2": "SUITE 1007",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921733123",
            "telephone_number": "619-870-9456",
            "fax_number": "916-785-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "CARLOS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "2394636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ysidro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.