Vicente Carrazana, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS107471 Issued in CA

Practice address

675 Pine Ave
Pacific Grove, CA 93950-3373

Phone

(831) 649-1055

NPI assigned

Oct 20, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Vincent Carrazana Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Carrazana, DDS, Apdc

  • General Practice Dentistry
  • Pacific Grove, CA
  • NPI 1912631474
  NPD
• Central Ave Dental LLC

  • General Practice Dentistry
  • Kansas City, KS
  • NPI 1861846420
  NPD (past)
• Genmat, PA

  • General Practice Dentistry
  • Kansas City, KS
  • NPI 1396245775
  NPD (past)

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1841662699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 PINE AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939503373",
            "telephone_number": "312-375-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PINE AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939503373",
            "telephone_number": "831-649-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAZANA",
        "first_name": "VICENTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-20",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61274",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2015037416",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS107471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VINCENT",
            "last_name": "CARRAZANA",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cap RX Inc
• Cap RX LTC Inc
• Nancy Ann Carnathan-Cribbs, MA
• Carrazana, DDS, Apdc
• Kritika Jo Carrazana, D.D.S.
• Cassandra Ohlsen, M.D., Inc.
• Kelly Castillo, SLP-CCC
• Castlewood West
• Jasmine Kealamalia Lloyd Chan, PHARMD
• Sarah Sunshine Chance

• Dentist in Pacific Grove, CA
• Providers in Pacific Grove, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.