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DR. ERWIN TAMAYO CARRACEDO D.M.D.
NPI 1164625075
Dentist - General Practice in Santa Rosa, CA

Active since June 07, 2007
1331 GUERNEVILLE RD, SUITE G, SANTA ROSA, CA 95403(650) 742-9092(650) 742-9093 Get Directions Write a Review

NPPES record last updated: March 29, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Erwin Tamayo Carracedo D.m.d. NPPES

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

DR. ERWIN TAMAYO CARRACEDO D.M.D. (NPI 1164625075) is an individual general practice provider in Santa Rosa, California, licensed in California (40417) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1164625075
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ERWIN TAMAYO CARRACEDOCredential: D.M.D.
Location Address1331 GUERNEVILLE RD, SUITE GSanta Rosa, CA 95403-4162
Mailing Address3540 Callan Blvd., Suite 100South San Francisco, CA 94080 · (650) 742-9092 · Fax (650) 742-9093
Phone(650) 742-9092
Fax(650) 742-9093
Sole ProprietorYes
Enumeration DateJune 7, 2007
Last NPPES UpdateMarch 29, 2010
✔ NPI 1164625075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 40417
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1331 GUERNEVILLE RD, Santa Rosa, CA 95403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Erwin Carracedo's NPI number?

The NPI number for Erwin Carracedo is 1164625075. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Erwin Carracedo located?

Erwin Carracedo practices at 1331 Guerneville Rd Suite G, Santa Rosa, CA 95403. The listed phone number is (650) 742-9092.

What is Erwin Carracedo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Erwin Carracedo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Erwin Carracedo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Erwin Carracedo was last updated on March 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.