Active NPI
Adriana Carolina Castaneda Carpio, DDS
- General Practice Dentistry
- Boynton Beach, FL
National Provider Identifier
1760162473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28205
- Practice address
- 10075 S Jog Rd Ste 108
Boynton Beach, FL 33437-3532 - Phone
- (561) 738-9007
- NPI assigned
- Jul 19, 2023
- Sex
- Female
- 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 | 28205 | FL | Primary |
Addresses
Primary practice location
10075 S Jog Rd Ste 108
Boynton Beach, FL 33437-3532
Mailing address
630 E Woolbright Rd
Apt 514
Boynton Beach, FL 33435
Phone (704) 787-2436
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 |
|---|---|---|---|
| 28205 | FL | MD | Physical Therapy Assistant |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1760162473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 E WOOLBRIGHT RD",
"address_2": "APT 514",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "33435",
"telephone_number": "704-787-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10075 S JOG RD STE 108",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373532",
"telephone_number": "561-738-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANEDA CARPIO",
"first_name": "ADRIANA",
"middle_name": "CAROLINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "28205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.