Individual provider Active NPI

Nadine Ayouty, DMD

  • General Practice Dentistry
  • Carlsbad, CA
National Provider Identifier
1861014672
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS106103 Issued in CA
Practice address
7625 Via Campanile Ste 130
Carlsbad, CA 92009-8489
Phone
(760) 633-1653
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X RES.004191 OH
General Practice Dentistry 1223G0001X DDS106103 CA Primary

Addresses

Primary practice location

7625 Via Campanile Ste 130
Carlsbad, CA 92009-8489

Mailing address

7625 Via Campanile Ste 130
Carlsbad, CA 92009-8489
Phone (760) 633-1653

Other practice location 1

2082 Postle Hall
305 West 12th Avenue
Columbus, OH 43210
Phone (614) 292-2622

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS106103CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John C Nosti Dental Corporation General Practice PastSince Aug 1, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1861014672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 VIA CAMPANILE STE 130",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098489",
            "telephone_number": "760-633-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 VIA CAMPANILE STE 130",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098489",
            "telephone_number": "760-633-1653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2082 Postle Hall",
            "address_2": "305 West 12th Avenue",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43210",
            "country_code": "US",
            "telephone_number": "614-292-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYOUTY",
        "first_name": "NADINE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "RES.004191",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS106103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.