Organization Active NPI

Maria Raye G. Oliveros DMD, Inc.

Doing business as Oliveros Dentistry

  • General Practice Dentistry
  • Carson, CA
National Provider Identifier
1639548035
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55973 Issued in CA
Legal business name
MARIA RAYE G. OLIVEROS DMD, INC.
Doing business as
Oliveros Dentistry
Practice address
357 E Carson St
Suite 100
Carson, CA 90745-2745
Phone
(310) 940-4868
NPI assigned
Sep 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Dr. Maria Raye Oliveros
Title
President
Phone
(310) 940-4868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55973 CA Primary

Addresses

Primary practice location

357 E Carson St
Suite 100
Carson, CA 90745-2745

Mailing address

543 E 213TH St
Carson, CA 90745-2102

Other names 1

  • Oliveros Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1639548035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 E 213TH ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 E CARSON ST",
            "address_2": "SUITE 100",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452745",
            "telephone_number": "310-940-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA RAYE G. OLIVEROS DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "OLIVEROS",
        "authorized_official_first_name": "MARIA RAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-940-4868",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oliveros Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.