Organization Active NPI

Leticia R. Tolentino, DMD, Inc.

  • Dental Clinic/Center
  • Carson, CA
National Provider Identifier
1689857013
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
41798 Issued in CA
Legal business name
LETICIA R. TOLENTINO, DMD, INC.
Practice address
860 E Carson St Ste 106
Carson, CA 90745-7940
Phone
(310) 522-9769
Fax
(310) 522-0119
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Leticia R. Tolentino, DMDNPI 1780790014
Title
Dentist/Owner
Phone
(310) 522-9769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 41798 CA Primary

Addresses

Primary practice location

860 E Carson St Ste 106
Carson, CA 90745-7940

Mailing address

860 E Carson St Ste 106
Carson, CA 90745-7940
Phone (310) 522-9769

National Provider Directory

National Provider Directory
Tax ID family
Leticia R Tolentino DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

860 E Carson St
Ste 106
Carson, CA 90745
Phone (310) 522-9769

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1689857013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E CARSON ST STE 106",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907457940",
            "telephone_number": "310-522-9769",
            "fax_number": "310-522-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E CARSON ST STE 106",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907457940",
            "telephone_number": "310-522-9769",
            "fax_number": "310-522-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETICIA R. TOLENTINO, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "TOLENTINO",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "310-522-9769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "41798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 7, 2007; 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.