Remodel Cosmetic Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

26345 Issued in CA

Legal business name

REMODEL COSMETIC DENTISTRY

Practice address

6221 Metropolitan St
Suite 102
Carlsbad, CA 92009-3096

Phone

(760) 918-0798

Fax

(760) 929-9231

NPI assigned

Nov 25, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gary Joel Braunstein

Title

Dentist

Phone

(760) 918-0798

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1679801930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 METROPOLITAN ST",
            "address_2": "SUITE 102",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093096",
            "telephone_number": "760-918-0798",
            "fax_number": "760-929-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 METROPOLITAN ST",
            "address_2": "SUITE 102",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093096",
            "telephone_number": "760-918-0798",
            "fax_number": "760-929-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMODEL COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "BRAUNSTEIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "760-918-0798",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "26345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Carlsbad, CA
• Providers in Carlsbad, 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 Nov 25, 2009; 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.