Organization Active NPI

Carolina G. Pablo, DDS a Prof. Dental Corp.

  • Dentist
  • Winnetka, CA
National Provider Identifier
1710005244
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CAROLINA G. PABLO, DDS A PROF. DENTAL CORP.
Practice address
7231 Corbin Ave
Winnetka, CA 91306-3006
Phone
(818) 998-9929
Fax
(818) 998-9925
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carolina PabloNPI 1639177389
Title
Dentist
Phone
(818) 998-9929

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
Dentist 122300000X CA Primary

Addresses

Primary practice location

7231 Corbin Ave
Winnetka, CA 91306-3006

Mailing address

7231 Corbin Ave
Winnetka, CA 91306-3006

National Provider Directory

National Provider Directory

Locations

7231 Corbin Ave
Winnetka, CA 91306
Phone (818) 998-9929

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710005244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 CORBIN AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 CORBIN AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063006",
            "telephone_number": "818-998-9929",
            "fax_number": "818-998-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA G. PABLO, DDS A PROF. DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PABLO",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-998-9929",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.