Victor H. Carrillo Professional Dental Corp.

Primary specialty

DentistTaxonomy code 122300000X

License

40553 Issued in CA

Legal business name

VICTOR H. CARRILLO PROFESSIONAL DENTAL CORP.

Practice address

333 H Street,
Ste 1015
Chula Vista, CA 91910

Phone

(619) 420-2231

Fax

(619) 420-2312

NPI assigned

Feb 19, 2009

Last updated

Jun 25, 2009By 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

Dr. Victor H. Carrillo, D.D.S.NPI 1104973478

Title

Owner/Dentist

Phone

(619) 420-2231

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, and the practitioner matching its NPPES authorized official.

• Victor Hugo Carrillo, DDS

  • Dentist
  • Chula Vista, CA
  • NPI 1104973478
  Authorized official Same address or phone

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1750520466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 H STREET,",
            "address_2": "STE 1015",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-420-2231",
            "fax_number": "619-420-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 H STREET,",
            "address_2": "STE 1015",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-420-2231",
            "fax_number": "619-420-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR H. CARRILLO PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "619-420-2231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Vergara
• Jessica Vergel de Dios, DMD
• Veterans Home of California - Chula Vista
• Veterans Home of California-Chula Vista (Veterans Home of Ca Chula Vista)
• Todorka Ivanova Vetrenski
• Victor J Mora D.D.S. ,Apc
• Victor J. Mora D.D.S., Apc
• Victor Mora D.D.S.
• Victoria R. Oira MD, Faap, Inc.
• Catherine Victoria

• Dentist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.