DAWANNA REBECCA CARSON
NPI 1770089054
Dentist - General Practice in Moreno Valley, CA

Active since April 04, 2018
12721 MORENO BEACH DR, MORENO VALLEY, CA 92555(951) 692-7300(702) 949-1900 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dawanna Rebecca Carson NPPES

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

DAWANNA REBECCA CARSON (NPI 1770089054) is an individual general practice provider in Moreno Valley, California, licensed in Nevada (28166) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1770089054
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDAWANNA REBECCA CARSON
Location Address12721 MORENO BEACH DRMoreno Valley, CA 92555-4411
Mailing Address5980 S Rainbow Blvd Ste 300Las Vegas, NV 89118-4207 · (702) 583-8882 · Fax (702) 949-1900
Fax(702) 949-1900
Sole ProprietorNo
Enumeration DateApril 4, 2018
NPI 1770089054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NV · 28166
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.
12721 MORENO BEACH DR, Moreno Valley, CA 92555

Other Identifiers 1

Medicaid2102921763NV

Other Providers at the Same Location NPPES 12

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

Optometrist
12721 MORENO BEACH DR
MORENO VALLEY, CA 92555
Dentist
12721 MORENO BEACH DR
MORENO VALLEY, CA 92555
Pharmacy
12721 MORENO BEACH DR
MORENO VALLEY, CA 92555
Dentist (General Practice)
12721 MORENO BEACH DR
MORENO VALLEY, CA 92555
Eyewear Supplier
12721 MORENO BEACH DR
MORENO VALLEY, CA 92555
Optometrist
12721 MORENO BEACH DR
MORENO VALLEY, CA 92555
Optometrist
12721 MORENO BEACH DR
MORENO VALLEY, CA 92555
Pharmacist
12721 MORENO BEACH DR
MORENO VALLEY, CA 92555

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 Dawanna Carson's NPI number?

The NPI number for Dawanna Carson is 1770089054. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Dawanna Carson located?

Dawanna Carson practices at 12721 Moreno Beach Dr, Moreno Valley, CA 92555. The listed phone number is (951) 692-7300.

What is Dawanna Carson's specialty?

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

When was this NPI record last updated?

The NPPES record for Dawanna Carson was last updated on April 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.