NPIMap

Organization Active NPI

Carrazana, DDS, Apdc

Doing business as Moonflower Dentistry

  • General Practice Dentistry
  • Pacific Grove, CA
National Provider Identifier
1912631474
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CARRAZANA, DDS, APDC
Doing business as
Moonflower Dentistry
Moonflower Dentistry for Adults and Kids
Practice address
675 Pine Ave
Pacific Grove, CA 93950-3373
Phone
(831) 649-1055
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Kritika J Carrazana, DDSNPI 1659738367
Title
President
Phone
(831) 649-1055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X

Addresses

Primary practice location

675 Pine Ave
Pacific Grove, CA 93950-3373

Mailing address

3123 Copper Peak Dr
Dublin, CA 94568-4901
Phone (772) 563-3540

Other names 2

  • Moonflower Dentistry Doing business as
  • Moonflower Dentistry for Adults and Kids Doing business as

National Provider Directory

National Provider Directory

Locations

675 Pine Ave
Pacific Grove, CA 93950
Phone (831) 649-1055

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1912631474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 COPPER PEAK DR",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945684901",
            "telephone_number": "772-563-3540"
        },
        {
            "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": {
        "organization_name": "CARRAZANA, DDS, APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "CARRAZANA",
        "authorized_official_first_name": "KRITIKA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-649-1055",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moonflower Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moonflower Dentistry for Adults and Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.