Individual provider Active NPI

Noel Torrijos Dorotheo, DMD

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1821176389
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36358 Issued in CA
Practice address
4500 Gosford Road
Unit 106
Bakersfield, CA 93313-4840
Phone
(661) 473-1800
Fax
(661) 885-6088
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36358 CA Primary

Addresses

Primary practice location

4500 Gosford Road
Unit 106
Bakersfield, CA 93313-4840

Mailing address

4500 Gosford Road
Unit 106
Bakersfield, CA 93313-4840
Phone (661) 473-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160321000431 CA Order and Referring Only - DentistPractitioner - Dentist 9830496728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36358CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Hemeoncology LLC. CurrentSince Mar 21, 2022 Accepting new patients
Noel Dorotheo DDS Inc CurrentSince Dec 6, 2020 Accepting new patients

Locations

4500 Gosford Rd
Unit 106
Bakersfield, CA 93313
Phone (661) 301-7494

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1821176389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 GOSFORD ROAD",
            "address_2": "UNIT 106",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933134840",
            "telephone_number": "661-473-1800",
            "fax_number": "661-885-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 GOSFORD ROAD",
            "address_2": "UNIT 106",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933134840",
            "telephone_number": "661-473-1800",
            "fax_number": "661-885-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROTHEO",
        "first_name": "NOEL",
        "middle_name": "TORRIJOS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.