Carolyn J Doherty, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35653 Issued in CA

Practice address

23451 Madison St
Ste 260
Torrance, CA 90505-4761

Phone

(310) 373-7743

Fax

(310) 373-7744

NPI assigned

May 31, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699777920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "STE 260",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054761",
            "telephone_number": "310-373-7743",
            "fax_number": "310-373-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "STE 260",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054761",
            "telephone_number": "310-373-7743",
            "fax_number": "310-373-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Lynne Doby, N.P.
• Rowena Docuyanan
• Daniel Curtis Dodson, D.O.
• Peter M Dodson
• Porsha Dodson, M.A., PSYD
• Delia E. Doherty, L.C.S.W.
• Hoon Dokko
• Irene Christine Dolan, FNP
• Dechen Dolkar, MD
• Krista Rose Dollar

• General Practice Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.