Individual provider Active NPI

Louis J Tricerri, DDS, FAGD

  • General Practice Dentistry
  • Vacaville, CA
National Provider Identifier
1104045129
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32673 Issued in CA
Practice address
292 Alamo Dr Ste 5
Vacaville, CA 95688-4243
Phone
(707) 448-6882
Fax
(707) 448-9703
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 32673 CA Primary

Addresses

Primary practice location

292 Alamo Dr Ste 5
Vacaville, CA 95688-4243

Mailing address

3113 Professional Dr Ste 3
Auburn, CA 95603-2459
Phone (530) 885-8152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32673CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Louis J. Tricerri, DDS, Fagd General Practice CurrentSince Aug 25, 2024 Accepting new patients
Daniel Capponi DDS Apc Past Accepting new patients
Kenneth M Hunter DDS, Jill H Hunter DDS, Apc General Practice Past Accepting new patients

Locations

3113 Professional Dr
Ste 3
Auburn, CA 95603
Phone (530) 885-8152

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1104045129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 PROFESSIONAL DR STE 3",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032459",
            "telephone_number": "530-885-8152",
            "fax_number": "530-885-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 ALAMO DR STE 5",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884243",
            "telephone_number": "707-448-6882",
            "fax_number": "707-448-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICERRI",
        "first_name": "LOUIS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DDS, FAGD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.