Changeover Solutions LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHANGEOVER SOLUTIONS LLC

Practice address

4051 E Jaxon St
San Luis, AZ 85336-0428

Phone

(623) 522-6580

NPI assigned

Oct 24, 2023

Organization subpart

No

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

Authorized official

Name

Jose Manuel Castro

Title

Managing Director

Phone

(623) 522-6580

Specialties & licenses 1

Addresses

Other names 1

• ChangeOver Solutions LLC Former legal business name

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1720850720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853490764",
            "telephone_number": "928-240-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 E JAXON ST",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853360428",
            "telephone_number": "623-522-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGEOVER SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "623-522-6580"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChangeOver Solutions LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Marycruz Castaneda, M.ED.,ED.S
• Carlos Castanedo, DDS
• Ana Cristina Castro
• Hassany Castro
• May Chambers, MD
• City of San Luis Arizona
• Community Intervention Associates, Inc
• Steven Lee Covington, FNP
• Adylenne De la Torre
• Hector Israel De la Torre, FNP-BC

• Dental Clinic/Center in San Luis, AZ
• Providers in San Luis, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.