CARL E PRIMAVERA DDS
NPI 1053512327
Dentist - Periodontics in Santa Cruz, CA

Active since May 31, 2007
1588 SOQUEL DR, SANTA CRUZ, CA 95065(831) 476-4020 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carl E Primavera Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARL E PRIMAVERA DDS (NPI 1053512327) is an individual periodontics provider in Santa Cruz, California, licensed in California (21050) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1053512327
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameCARL E PRIMAVERACredential: DDS
Location Address1588 SOQUEL DRSanta Cruz, CA 95065-1714
Mailing Address1588 Soquel DrSanta Cruz, CA 95065-1714 · (831) 476-4020
Sole ProprietorYes
Enumeration DateMay 31, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1053512327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 21050
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1588 SOQUEL DR, Santa Cruz, CA 95065

Other Identifiers 1

Other21629043CA · Edd Account Number

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1588 SOQUEL DR
SANTA CRUZ, CA 95065
Dentist (Endodontics)
1588 SOQUEL DR
SANTA CRUZ, CA 95065
Dentist (General Practice)
1588 SOQUEL DR
SANTA CRUZ, CA 95065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Primavera's NPI number?

The NPI number for Carl Primavera is 1053512327. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Carl Primavera located?

Carl Primavera practices at 1588 Soquel Dr, Santa Cruz, CA 95065. The listed phone number is (831) 476-4020.

What is Carl Primavera's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Carl Primavera was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.