Angelo Cacciatore, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

112746 Issued in CA

Practice address

131 W Ontario Ave Ste 102
Corona, CA 92882-5274

Phone

(951) 734-4543

NPI assigned

Jul 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acorn Dentistry for Kids - East Salem, LLC

  • Pediatric Dentistry
  • Salem, OR
  • NPI 1962157792
  NPD
• Acorn Dentistry for Kids - Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salem, OR
  • NPI 1205536125
  NPD
• Mysa Dental PLLC

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1710587431
  NPD (past)

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1043983174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8619 GLASS GEM DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494656",
            "telephone_number": "917-468-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W ONTARIO AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825274",
            "telephone_number": "951-734-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCIATORE",
        "first_name": "ANGELO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "112746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C&C Home Care, LLC
• Ca Non-Emergency Medical Group Inc.
• Ronald M Cabal, RN, BSN
• Abraham Caballero, RN
• Dominik Cabeza
• Jorge Bastidas Caceres, PT, MPT
• Abel Cachola, PHARMD
• Thomas John Cachur Jr., D.O.
• Cade'S Home Care Services LLC
• Miranda Cadenas, PPS SCHOOL PSYCH

• Pediatric Dentistry in Corona, CA
• Providers in Corona, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.