Carolina Castaneda DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

B35852 Issued in CA

Legal business name

CAROLINA CASTANEDA DDS, INC

Practice address

4560 E Cesar E Chavez Ave
Los Angeles, CA 90022-1117

Phone

(323) 780-0223

Fax

(323) 780-0494

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carolina Castaneda, DDS

Title

President

Phone

(323) 780-0223

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1689852998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90022",
            "telephone_number": "323-780-0223",
            "fax_number": "323-780-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221117",
            "telephone_number": "323-780-0223",
            "fax_number": "323-780-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CASTANEDA DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-780-0223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "B35852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "1770625337",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel Javier Caro, RAS
• Mariana Caro
• Zulai Gabriela Caro I
• Jessica Carodine, CCC-SLP
• Carol Kelson, PH.D., Marriage and Family Therapist, Inc.
• Dameelah Rose Carolina
• Delilah D Carolina
• Joyce Ellen Caroll, MFT
• Carolyn Cancio DDS Inc
• Christine Caron, DPT

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 Feb 8, 2008; 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.