Carr Pediatric Dentistry, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CARR PEDIATRIC DENTISTRY, PA

Doing business as

Carr Pediatric Dentistry

Practice address

11936 Boyette Rd
Riverview, FL 33569-5601

Phone

(813) 672-3368

NPI assigned

Sep 20, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Natalie Carr Bustillo, DDS, MSNPI 1134283880

Title

President

Phone

(813) 672-3368

Specialties & licenses 1

Addresses

Other names 1

• Carr Pediatric Dentistry Doing business as

Locations

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.

• Natalie Carr Bustillo, DDS, MS

  • Pediatric Dentistry
  • Riverview, FL
  • NPI 1134283880
  NPD (past) Authorized official

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720597842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11936 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695601",
            "telephone_number": "813-672-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11936 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695601",
            "telephone_number": "813-672-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARR PEDIATRIC DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BUSTILLO",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "CARR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-672-3368",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carr Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caringtan Care Inc
• Tish I'Renee Carlton, NP
• Adam Carman
• Ariela Itzel Carmona, SLP-A
• Carnegie Cares Home Care & Services LLC
• Luis Carrero
• Madeline E Carroll, MD
• Maria Ines Carroll
• Nikki R. Carroll, RDN, LD/N
• Tommy Lee Carstarphen Jr., CPT

• Pediatric Dentistry in Riverview, FL
• Providers in Riverview, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.