Dento-Ped, CSP

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2510 Issued in PR

Legal business name

DENTO-PED, CSP

Practice address

HC 1 Box 25708
San German, PR 00683-9806

Phone

(787) 892-0585

Fax

(787) 892-0585

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Selma Basora, DMDNPI 1205804119

Title

President/Secretary

Phone

(787) 892-0585

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Selma Basora, DMD

  • Pediatric Dentistry
  • San German, PR
  • NPI 1205804119
  NPD (past) Authorized official

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740258557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 25708",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839806",
            "telephone_number": "787-892-0585",
            "fax_number": "787-892-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 25708",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839806",
            "telephone_number": "787-892-0585",
            "fax_number": "787-892-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTO-PED, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASORA",
        "authorized_official_first_name": "SELMA",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "787-892-0585",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "2510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon De Jesus, M.D.
• De la Mano Nursing Home
• Stephanie Marie De la Matta, OD
• Dento-Lab, Inc
• Dento-Medics, CSP
• Dermatologics LLC
• Wigmar Diaz Ramos, PH D
• Yaileen M Diaz Torres, SLP
• Dominguez Medical Service
• Dr Armando a. Doval Ortes CSP

• Pediatric Dentistry in San German, PR
• Providers in San German, PR by specialty
• Pediatric Dentistry in Puerto Rico

• 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.