Carolyn Aristorenas Cancio, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42282 Issued in CA

Practice address

1300 N Vermont Ave
Suite #801
Los Angeles, CA 90027-6005

Phone

(323) 661-8001

Fax

(323) 661-8009

NPI assigned

Nov 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolyn Cancio DDS Inc

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1972900736
  NPD (past) Authorized official

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1760636195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "SUITE #801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-661-8001",
            "fax_number": "323-661-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "SUITE #801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-661-8001",
            "fax_number": "323-661-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCIO",
        "first_name": "CAROLYN",
        "middle_name": "ARISTORENAS",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Canchola
• Maria Gabriela Canchola
• Daniel Abraham Cancilla
• Christine Cancino, AGACNP-BC
• Monica Zuleyma Cancinos, PA-C
• Juan Pocholo Balingit Cancio, DDS
• Dayna Candela, DPT
• Evelyn Candelario
• Jury Candelario III, LCSW
• Jessica Candelas

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Nov 12, 2008; 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.