Andrew Carranco, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

108198 Issued in CA

Practice address

615 Barstow Ave
Clovis, CA 93612-2230

Phone

(559) 314-2408

NPI assigned

Feb 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: acarranco77367@valleychildrens-prd.direct-ci.com

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.

• Carranco DMD Inc

  • Pediatric Dentistry
  • Clovis, CA
  • NPI 1760272579
  NPD Authorized official

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1972041150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 HERNDON AVE STE 104",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936118977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BARSTOW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936122230",
            "telephone_number": "559-314-2408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2497 Herndon Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936118977",
            "country_code": "US",
            "telephone_number": "559-900-7133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRANCO",
        "first_name": "ANDREW",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-07",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30025261",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30025261",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "108198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274181",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reanna Sue Carlson
• Bernadette Nicacio Carmona, LVN
• Kenneth John Carr, PH.D.
• Kimberlina Ann Carr
• Carranco DMD Inc
• Blanca Carreon Fernandez
• Maya Gisel Carrillo, MA, CF-SLP
• Bryce Taylor Carskadon, CMT
• Leonita A Carungcong, MD
• Samantha Vanessa Carvajal-Rico

• Pediatric Dentistry in Clovis, CA
• Providers in Clovis, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.