CARL E PRIMAVERA DDS
NPI 1053512327
Dentist - Periodontics in Santa Cruz, CA
- Individual
- Male
- Dentist
- Periodontics
About CARL PRIMAVERA
This page provides the complete NPI Profile along with additional information for Carl Primavera, a provider established in Santa Cruz, California with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1053512327 assigned on May 2007. The practitioner's primary taxonomy code is 1223P0300X with license number 21050 (CA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1053512327 Verify this NPI
- Provider Name
- CARL E PRIMAVERA DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1588 SOQUEL DR SANTA CRUZ, CA 95065
- Location Phone
- (831) 476-4020
- Mailing Address
- 1588 SOQUEL DR SANTA CRUZ, CA 95065
- Mailing Phone
- (831) 476-4020
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-31-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Carl Primavera is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License No.
- 21050
- License State
- CA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21629043 | OTHER (01) | CA | EDD ACCOUNT NUMBER |
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053512327, enumerated as an "individual" on May 31, 2007.
The provider is located at 1588 SOQUEL DR SANTA CRUZ, CA 95065 and the phone number is (831) 476-4020.
Dentist with taxonomy code 1223P0300X and a focus in Periodontics.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
