Ingrid Pena de Carreno, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855829 Issued in MA

Practice address

100 Amesbury St
Lawrence, MA 01840-1321

Phone

(978) 686-8500

Fax

(978) 686-1592

NPI assigned

Oct 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ingrid Celeste de Jesus Pena Guzman 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 and National Provider Directory roles.

• Community Dentist Associates PC

  • General Practice Dentistry
  • Lawrence, MA
  • NPI 1093587156
  NPD

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1689950420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WHITNEY CT",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447120",
            "telephone_number": "978-686-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AMESBURY ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401321",
            "telephone_number": "978-686-8500",
            "fax_number": "978-686-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA DE CARRENO",
        "first_name": "INGRID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRID",
            "last_name": "PENA GUZMAN",
            "middle_name": "CELESTE DE JESUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rochell Peguero
• Wilda Masiel Peguero
• Pemberton Dental Associates
• Pemberton Dental PC
• Maribel Pena Almanzar
• Angelin Isabel Pena
• Candy Pena
• Julissa Pena
• Katherine Pena
• Maytee Pena

• General Practice Dentistry in Lawrence, MA
• Providers in Lawrence, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.