Denise Marie Cacho, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D11244 Issued in OR

Practice address

East Bliss Dental Clinic
21227 Torch St
Fort Bliss, TX 79918

Phone

(915) 742-9297

NPI assigned

Jun 30, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Denise Marie Cacho-Juan Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1003433640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EAST BLISS DENTAL CLINIC",
            "address_2": "21227 TORCH ST",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79918",
            "telephone_number": "915-742-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAST BLISS DENTAL CLINIC",
            "address_2": "21227 TORCH ST",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79918",
            "telephone_number": "915-742-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACHO",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003433640",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "denise.m.cachojuan.mil@mail.mil",
            "affiliation": "N",
            "address_1": "East Bliss Dental Clinic",
            "address_2": "21227 Torch ST",
            "city": "Fort Bliss",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "CACHO-JUAN",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathleen Kay Burns, LCSW
• Kyle Andrew Busby, PHYSICIAN ASSISTANT
• Bryce Butler, PA-C
• Heather Butts, M.D.
• Gonzalo Felix Cacho-Santaella
• Michael S Cahill, M.D.
• Loreto Calaquian, M.D.
• Steven Alex Calder, DO
• Hilda Cano, M.D.
• Alexandria R Cantu

• Dentist in Fort Bliss, TX
• Providers in Fort Bliss, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.