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CARLENE A MENDIETA DDS
NPI 1780668020
Dentist - Periodontics in Pinole, CA

Active since November 30, 2005
1420 TARA HILLS DR, #C, PINOLE, CA 94564(510) 724-8441(510) 724-0120 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carlene A Mendieta Dds NPPES

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

CARLENE A MENDIETA DDS (NPI 1780668020) is a healthcare organization registered as a periodontics in Pinole, California and active in the NPI registry since November 2005. The organization lists Carlene A Mendieta, Owner, as its authorized official.

NPPES Registry Identity

NPI1780668020
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCARLENE A MENDIETA DDS
Location Address1420 TARA HILLS DR, #CPinole, CA 94564-2530
Mailing Address1420 Tara Hills Dr, #cPinole, CA 94564-2530 · (510) 724-8441 · Fax (510) 724-0120
Phone(510) 724-8441
Fax(510) 724-0120
Organization SubpartNo
Authorized OfficialCarlene A MendietaOwner · (510) 724-8441
Enumeration DateNovember 30, 2005
Last NPPES UpdateJuly 14, 2008
✔ NPI 1780668020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · DA34741
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.

1420 TARA HILLS DR, Pinole, CA 94564
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Other Identifiers 1

OtherDA34741CA · License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. PAUL HAROLD RYAN JR. M.D.
Ophthalmology
1420 TARA HILLS DR, SUITE D
PINOLE, CA 94564
Contra Costa County (510) 724-5222
EMILY CHOH
Optometrist
1420 TARA HILLS DR
PINOLE, CA 94564
Contra Costa County (510) 724-1768
LINDA HYUN-BUM HUR O.D.
Optometrist
1420 TARA HILLS DR, SUITE D
PINOLE, CA 94564
Contra Costa County (510) 724-1768

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 Carlene A Mendieta Dds's NPI number?

The NPI number for Carlene A Mendieta Dds is 1780668020. It was assigned to this organization in the NPPES registry on November 30, 2005.

Where is Carlene A Mendieta Dds located?

Carlene A Mendieta Dds is located at 1420 Tara Hills Dr #c, Pinole, CA 94564. The listed phone number is (510) 724-8441.

What is Carlene A Mendieta Dds'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 Carlene A Mendieta Dds was last updated on July 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.