Stella Maris Caballero, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

17815 Issued in TX

Practice address

810 Caldwell St Ste 300
Manor, TX 78653-3359

Phone

(512) 272-8900

Fax

(512) 272-8915

NPI assigned

Aug 11, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Santa Maria Dental, P.C.

  • General Practice Dentistry
  • Manor, TX
  • NPI 1447087283
  NPD Authorized official
• Caballero DDS, Cedar Park, PC

  • General Practice Dentistry
  • Cedar Park, TX
  • NPI 1952604266
  NPD (past) Authorized official
• Manor Smiles, LLC

  • General Practice Dentistry
  • Manor, TX
  • NPI 1447937487
  NPD
• Future Dental

  • Dentist
  • Manor, TX
  • NPI 1215126537
  NPD (past)

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1083806293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CALDWELL ST STE 300",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786533359",
            "telephone_number": "512-272-8900",
            "fax_number": "512-272-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CALDWELL ST STE 300",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786533359",
            "telephone_number": "512-272-8900",
            "fax_number": "512-272-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "STELLA",
        "middle_name": "MARIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-11",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BRC Outpatient Services, LLC
• Christina Marie Brown, CNP
• Jason Brown, PMHNP
• Patricia Diane Brown
• Stephanie Brubaker, P.T.
• Ehesar Caffroni, DDS,MSD
• Madia Canali, LMSW
• Michael Epstein Cantu, BCBA
• Mirhanda Zoe Cardenas
• Care Elevated LLC

• Dentist in Manor, TX
• Providers in Manor, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.