NPIMap

Organization Active NPI

Carolina Florencio, DMD, PHD, PLLC

Doing business as Bellevue Tulip Dental

  • Dentist
  • Bellevue, WA
National Provider Identifier
1831642255
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60659486 Issued in WA
Legal business name
CAROLINA FLORENCIO, DMD, PHD, PLLC
Doing business as
Bellevue Tulip Dental
Practice address
11216 NE 15TH St
Suiteb
Bellevue, WA 98004-3723
Phone
(425) 451-8611
NPI assigned
Aug 2, 2016
Last updated
Aug 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Dr. Carolina Florencio, DMD, PHDNPI 1386198331
Title
DMD
Phone
(206) 375-8368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60659486 WA Primary

Addresses

Primary practice location

11216 NE 15TH St
Suiteb
Bellevue, WA 98004-3723

Mailing address

11216 NE 15TH St
Suiteb
Bellevue, WA 98004-3723
Phone (425) 451-8611

Other names 1

  • Bellevue Tulip Dental Doing business as

National Provider Directory

National Provider Directory

Locations

11216 NE 15th St
Bellevue, WA 98004
Phone (425) 451-8611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1831642255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11216 NE 15TH ST",
            "address_2": "SUITEB",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043723",
            "telephone_number": "425-451-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 NE 15TH ST",
            "address_2": "SUITEB",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043723",
            "telephone_number": "425-451-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FLORENCIO, DMD, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "FLORENCIO",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "206-375-8368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PHD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60659486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Tulip Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.