DR CARLA BRYAN DDS (NPI# 1205176468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205176468 |
| Entity Type | Organization |
| Organization Name | DR CARLA BRYAN DDS |
| Practice Address |
657 Camino De Los Mares Ste 138 San Clemente CA 92673-2810 |
| Practice Telephone | 9494876780 |
| Practice Fax Number | 9494876781 |
| Mailing Telephone | 9494876780 |
| Mailing Fax Number | 9494876781 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Authorized Official Name | DR. CARLA PETERSON BRYAN (OWNER) |
| Authorized Official Telephone | 9494876780 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DV25362 | CA | Dental Providers |
| Street Address |
657 CAMINO DE LOS MARES STE 138 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499979 | Jaesung Kim Dmd Inc | Dentist | 1520 N El Camino Real Ste 5, San Clemente, CA 92672-5957 | 2020-05-21 |
| 1194196675 | Sara Akbar | Dentist | 801 Avenida Talega Ste 105, San Clemente, CA 92673-6532 | 2015-10-09 |
| 1578985297 | Nina Basti Dds, Inc | Dentist | 150 Avenida Del Mar, Ste C, San Clemente, CA 92672-4010 | 2014-01-15 |
| 1760796023 | Hossein Edalat | Dentist | 130 Avenida Cabrillo Ste B, San Clemente, CA 92672-5509 | 2010-07-28 |
| 1467606665 | Richard Steven Phillips | Dentist | 224 W Avenida Valencia, San Clemente, CA 92672-4242 | 2008-11-14 |
| 1497924146 | Dana Ghorab | Dentist | 801 Avenida Talega, Suite 105, San Clemente, CA 92673-6532 | 2008-02-27 |
| 1891902854 | Sharon Josianne Friend | Dentist | 1520 N. El Camino Real, Suite #5, San Clemente, CA 92672 | 2007-05-17 |
| 1447321716 | Erini Papandreas Redmond | Dentist | 181 Ave Vaquero, Suite A, San Clemente, CA 92672-3643 | 2006-11-10 |
| 1881764637 | Diep Kim Dang | Dentist | 210 Avenida Del Mar #b, San Clemente, CA 92672 | 2006-11-09 |
| 1508952466 | Steven Joseph Edwards | Dentist | 1151 Puerta Del Sol, Suite A, San Clemente, CA 92673-6311 | 2006-10-05 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.