Cherestina Chamoun, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

02786251 Issued in CO

Practice address

811 Brickyard Cir
Golden, CO 80403-8058

Phone

(661) 272-9000

NPI assigned

Jul 18, 2014

Last updated

May 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Cherestina Boulas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• American Dental Center of Palmdale

  • Dental Clinic/Center
  • Palmdale, CA
  • NPI 1598839102
  NPD (past)
• David Gobrial DDS Inc

  • General Practice Dentistry
  • Palmdale, CA
  • NPI 1568170587
  NPD (past)

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1669889903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 BRICKYARD CIR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804038058",
            "telephone_number": "310-592-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 BRICKYARD CIR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804038058",
            "telephone_number": "661-272-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMOUN",
        "first_name": "CHERESTINA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00206493",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CO",
            "license": "02786251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERESTINA",
            "last_name": "BOULAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cory William Center
• Cerviom LLC
• Mary M. Ceynowa, LPC, LP
• Chad Hartley MD Pllcc
• Brooke Nicole Chamberlain, DMD
• Delilah Chance, PA-C
• Ana Chandler
• Hong Chang, NP
• Justin C Chang, MD
• Charles T Miller DDS PC

• Dental Anesthesiology in Golden, CO
• Providers in Golden, CO by specialty
• Dental Anesthesiology in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.