Carlos C Garcia DDS a Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

57128 Issued in CA

Legal business name

CARLOS C GARCIA DDS A DENTAL CORPORATION

Practice address

3600 N Verdugo Rd Ste 105
Glendale, CA 91208-1258

Phone

(818) 249-1819

Fax

(818) 249-1330

NPI assigned

Jun 26, 2015

Organization subpart

No

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

Authorized official

Name

Carlos Garcia, DDS

Title

Owner

Phone

(818) 249-1819

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1811379795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N VERDUGO RD STE 105",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081258",
            "telephone_number": "818-249-1819",
            "fax_number": "818-249-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N VERDUGO RD STE 105",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081258",
            "telephone_number": "818-249-1819",
            "fax_number": "818-249-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3465 N Verdugo Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912081520",
            "country_code": "US",
            "telephone_number": "818-249-1819",
            "fax_number": "818-249-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARLOS C GARCIA DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-249-1819",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Glendale, CA
• Providers in Glendale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.