JOSEPH CERAVOLO DDS INC


Address: 1304 15th St, Ste 314, Santa Monica, CA 90404-1809
Phone: 3103945879

JOSEPH CERAVOLO DDS INC (NPI# 1457521361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457521361
Entity Type Organization
Organization Name JOSEPH CERAVOLO DDS INC
Practice Address 1304 15th St
Ste 314
Santa Monica
CA 90404-1809
Mailing Address 322 Culver Blvd
Ste #274
Playa Del Rey
CA 90293-7704
Practice Telephone 3103945879
Mailing Telephone 3109901636
Enumeration Date 2008-03-06
Last Update Date 2008-03-06
Authorized Official Name JOSEPH CERAVOLO (CEO)
Authorized Official Telephone 3109901636
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
48513 CA Dental Providers

Office Location

Street Address 1304 15TH ST
STE 314
City SANTA MONICA
State CA
Zip Code 90404-1809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407851751 Rita Weisberg Dentist 1304 15th St, Ste 315, Santa Monica, CA 90404-1812 2005-06-14
1932640463 Farinoush Gaminchi Dmd Inc Dentist 1304 15th St, Ste 315, Santa Monica, CA 90404-1809 2017-03-16
1780072199 Jason Mirabile Dental Corp Preferred Provider Organization 1304 15th St, 305, Santa Monica, CA 90404-1809 2015-01-07
1508296435 Feder Mashkouri Dental Partnership Dentist 1304 15th St, Suite 200, Santa Monica, CA 90404-1809 2013-11-13
1083055859 Jane Alpert Marriage & Family Therapist 1304 15th St, Suite 202, Santa Monica, CA 90404-1809 2013-07-09
1659651859 Termeh Erika Toufanian Physical Therapist 1304 15th St, Suite 407, Santa Monica, CA 90404-1809 2011-08-19
1528360575 Claire La Bauve Physical Therapist 1304 15th St, Santa Monica, CA 90404-1809 2010-11-24
1790014306 Maria Melissa D. Francisco Dentist 1304 15th St, #209, Santa Monica, CA 90404-1809 2009-12-10
1346497328 University Cardiovascular Medical Group Clinic/Center 1304 15th St, Suite 102, Santa Monica, CA 90404-1809 2008-08-21
1770740441 Mona Queena Cho Elsea Emergency Medicine 1304 15th St, Suite 202, Santa Monica, CA 90404-1809 2008-05-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306453352 Jasmine Burton Physical Therapist 1714 17th Street, Santa Monica, CA 90404 2020-09-24
1003431685 Cintia Haydee Ctibor Behavior Technician 1869 9th Street, Santa Monica, CA 90404 2020-06-10
1073137261 Sydney Kristine Valerio Counselor 1869 9th St, Santa Monica, CA 90404 2020-06-03
1710507082 James Gilbert Cunningham Marriage & Family Therapist 1708 Olympic Blvd, Santa Monica, CA 90404 2020-04-16
1841763687 Crystal Monique Mckinley X Counselor 1865 9th St, Santa Monica, CA 90404 2019-01-04
1952872749 Cesar O Munoz Licensed Vocational Nurse 1865 9th St., Santa Monica, CA 90404 2018-12-06
1023596574 Joseph J Pinzone Md Inc Internal Medicine 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 2018-08-06
1548763535 Alan Rubenstein Dds Inc Dentist 1260 15th St., #703, Santa Monica, CA 90404 2018-03-15
1669993382 Aaron Wilson Counselor 1453 16th Street, Santa Monica, CA 90404 2017-07-03
1922472471 Chianni Lin Acupuncturist 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 2015-11-20
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396124368 Megan Rustad, Dds Inc Dentist 1502 Montana Ave Ste 205, Santa Monica, CA 90403-1873 2015-05-24
1063844942 Mike Pirbazari, Dds, Phd. Inc Dentist 1807 Wilshire Blvd., Suite A, Santa Monica, CA 90403 2013-08-02
1295014603 Richard James Rauth Dentist 1234 Seventh Street, Suite 3, Santa Monica, CA 90401 2011-08-16
1326202029 Samantha Robyn Haas Besser Dentist 1102 12th St Apt 2, Santa Monica, CA 90403-5446 2008-07-11
1811180961 Richard Leon Edwards Iv Dentist 2730 Wilshire Blvd.,#410, Santa Monica, CA 90403-4706 2007-08-22
1275740896 Thomas J Rauth Dentist 1234 7th St Ste 3, Santa Monica, CA 90401-1614 2007-05-16
1851790661 Columbia Dental Specialty Group Dentist 1807 Wilshire Blvd, Ste A, Santa Monica, CA 90403-5652 2014-08-18
1962781245 Brandon Seto Dentist 1234 7th St, Suite 3, Santa Monica, CA 90401-1614 2011-08-04
1184834442 Jeffrey Michael Kotsubo Dentist 1304 15th St, Suite #318, Santa Monica, CA 90404-1809 2007-05-23
1487861902 John Q Holcomb Dentist 1234 7th St Ste 3, Santa Monica, CA 90401-1614 2007-05-16
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Competitor

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City SANTA MONICA
Zip Code 90404

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Dataset Information

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.

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