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ULISES ERNESTO CARBALLOSA FERNANDEZ
NPI 1558051367
Dentist - General Practice in Ashtabula, OH

Active since May 15, 2023
2203 LAKE AVE, ASHTABULA, OH 44004(440) 381-8800 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ulises Ernesto Carballosa Fernandez NPPES

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

ULISES ERNESTO CARBALLOSA FERNANDEZ (NPI 1558051367) is an individual general practice provider in Ashtabula, Ohio, licensed in Ohio (30.028142) and active in the NPI registry since May 2023. He maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1558051367
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameULISES ERNESTO CARBALLOSA FERNANDEZ
Location Address2203 LAKE AVEAshtabula, OH 44004-3437
Mailing Address10803 Lake Ave Apt 104Cleveland, OH 44102-1249 · (786) 690-1609
Phone(440) 381-8800
Sole ProprietorYes
Enumeration DateMay 15, 2023
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1558051367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OH · 30.028142
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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RES.004578 (OH)
2203 LAKE AVE, Ashtabula, OH 44004
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Secondary Practice Location 1

Location 14071 Lee Rd Ste 260Cleveland, OH 44128-2173 · Phone (216) 727-1164

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 Ulises Carballosa Fernandez's NPI number?

The NPI number for Ulises Carballosa Fernandez is 1558051367. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Ulises Carballosa Fernandez located?

Ulises Carballosa Fernandez practices at 2203 Lake Ave, Ashtabula, OH 44004. The listed phone number is (440) 381-8800.

What is Ulises Carballosa Fernandez's specialty?

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

What insurance does Ulises Carballosa Fernandez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 11 other insurers list Ulises Carballosa Fernandez 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 Ulises Carballosa Fernandez was last updated on July 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.