Christian Cabello Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHRISTIAN CABELLO PEDIATRIC DENTISTRY

Practice address

6910 McPherson Rd
Suite 2
Laredo, TX 78041-6407

Phone

(956) 625-5311

Fax

(956) 625-5333

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Christian C Cabello, DDSNPI 1750571139

Title

Pediatric Dentist/Owner

Phone

(956) 625-5311

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr.CC's Tooth Factory Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian C Cabello, DDS

  • Pediatric Dentistry
  • Laredo, TX
  • NPI 1750571139
  NPD (past) Authorized official

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1063962942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 MCPHERSON RD",
            "address_2": "SUITE 2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416407",
            "telephone_number": "956-625-5311",
            "fax_number": "956-625-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 MCPHERSON RD",
            "address_2": "SUITE 2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416407",
            "telephone_number": "956-625-5311",
            "fax_number": "956-625-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CABELLO PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "CABELLO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "956-625-5311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750571139",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063962942",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr.CC's Tooth Factory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chess Medical Group, LLP
• Satbir Singh Chhina, MD
• Childrens Home Treatment Services, LLC
• Chiro Incorporated
• Elizabeth Chisum
• Christopher Berlioz DO PA
• Victor Chukwu-Remy, MD
• Jae H Chun, D.D.S.
• Hiu Yi Chung
• Marcia Anne Chung, MD

• Pediatric Dentistry in Laredo, TX
• Providers in Laredo, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.