Carlton Dale Cherry, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51179 Issued in CA

Practice address

Mitscher Way
Building 2495
San Diego, CA 92145

Phone

(858) 577-1825

NPI assigned

Aug 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1740273572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12368 PICRUS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294112",
            "telephone_number": "858-484-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MITSCHER WAY",
            "address_2": "BUILDING 2495",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92145",
            "telephone_number": "858-577-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "CARLTON",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3876",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Ross Chernick, AMFT, M.A.
• Ronit Leona Chernobelsky, MD
• Daniela Cherny, LCSW
• Cherokee Medical Services
• Albert Lee Cherry Jr.
• Eileen C Cherry, NP
• Gary Cherry Jr., IDC
• Jennifer Cherry
• Maria I Cherry
• Reena W. Cherry, PA-C

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Jan 30, 2009; 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.