Carrasco Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CARRASCO DENTAL CORP

Doing business as

Blyss Dental

Practice address

807 Camino del Mar Unit 77
Del Mar, CA 92014-2810

Phone

(858) 799-0570

NPI assigned

Feb 22, 2022

Last updated

Feb 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Georgina Carrasco, DMDNPI 1750999074

Title

Owner/Dentist

Phone

(858) 799-0570

Specialties & licenses 1

Addresses

Other names 1

• Blyss Dental Doing business as

Locations

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.

• Georgina Carrasco, DMD

  • General Practice Dentistry
  • Del Mar, CA
  • NPI 1750999074
  NPD Authorized official

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1932855657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 CAMINO DEL MAR UNIT 77",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142810",
            "telephone_number": "858-799-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 CAMINO DEL MAR UNIT 77",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142810",
            "telephone_number": "858-799-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRASCO DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "858-799-0570",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blyss Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisol L Camarena-Geiger
• Lorraine F Camenzuli, PH.D., PH.D.
• Cameron S Francis MD Inc
• Greg Cantu, D.C.
• Diane A Carlson, MFT
• Georgina Carrasco, DMD
• Brian Carroll, PA-C
• Casa Palmera Care Center, Inc. (Casa Palmera)
• Rebecca Caulk
• Melissa Cervone, M.S., CFY-SLP

• Dental Clinic/Center in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.