Active NPI
Leticia Rivera Tolentino, DDS
- General Practice Dentistry
- Carson, CA
National Provider Identifier
1780790014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 41798
- Practice address
- 860 E Carson St
Ste 106
Carson, CA 90745 - Phone
- (310) 522-9769
- Fax
- (310) 522-0119
- NPI assigned
- Aug 21, 2006
- 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 | 41798 | CA | Primary |
Addresses
Primary practice location
860 E Carson St
Ste 106
Carson, CA 90745
Mailing address
860 E Carson St
Ste 106
Carson, CA 90745
Phone (310) 522-9769
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 |
|---|---|---|---|
| 41798 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leticia R. Tolentino, DMD, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Carson, CA
- NPI 1689857013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780790014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 E CARSON ST",
"address_2": "STE 106",
"city": "CARSON",
"state": "CA",
"postal_code": "90745",
"telephone_number": "310-522-9769",
"fax_number": "310-522-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 E CARSON ST",
"address_2": "STE 106",
"city": "CARSON",
"state": "CA",
"postal_code": "90745",
"telephone_number": "310-522-9769",
"fax_number": "310-522-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLENTINO",
"first_name": "LETICIA",
"middle_name": "RIVERA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "41798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.