Active NPI
Carlos E Cardenas Peralta, DMD
- General Practice Dentistry
- Seminole, FL
National Provider Identifier
1740967132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DRPM2640
- Practice address
- 9200 113TH St
Seminole, FL 33772-2800 - Phone
- (727) 893-5050
- NPI assigned
- Jun 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DRPM2640 | FL | Primary |
Addresses
Primary practice location
9200 113TH St
Seminole, FL 33772-2800
Mailing address
11123 60TH Avenue N
Seminole, FL 33772
Phone (203) 300-1564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DRPM2640 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1740967132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11123 60TH AVENUE N",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "33772",
"telephone_number": "203-300-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 113TH ST",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337722800",
"telephone_number": "727-893-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS PERALTA",
"first_name": "CARLOS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DRPM2640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
- Tara Koza Camargo, O.D.
- Noelle Campbell, APRN
- Julianna Capobianco
- Capstone Eye Care Group of Florida LLC
- Jade Luciana Carbonelli, PA-C
- Caring About Living Individuals Project
- Caring Floridians Nurse Registry LLC
- Carmen R Damiani DO PA (Center For Women & Family)
- Carring Community Counseling
- Hedy Carton, L.M.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.