Individual provider Active NPI

Ana Cristina Zapata Caceres

  • Dental Anesthesiology
  • Round Rock, TX
National Provider Identifier
1104411149
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
40066 Issued in TX
Practice address
3401 Royal Vista Blvd Ste A100
Round Rock, TX 78681-1151
Phone
(512) 909-3171
Fax
(512) 246-3678
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X 40066 TX Primary

Addresses

Primary practice location

3401 Royal Vista Blvd Ste A100
Round Rock, TX 78681-1151

Mailing address

3401 Royal Vista Blvd Ste A100
Round Rock, TX 78681-1151
Phone (512) 909-3171

Other practice location 1

1400 Pelham Pkwy S
Bronx, NY 10461-1197
Phone (718) 918-3419

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

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1104411149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 ROYAL VISTA BLVD STE A100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811151",
            "telephone_number": "512-909-3171",
            "fax_number": "512-246-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ROYAL VISTA BLVD STE A100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811151",
            "telephone_number": "512-909-3171",
            "fax_number": "512-246-3678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Pelham Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611197",
            "country_code": "US",
            "telephone_number": "718-918-3419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAPATA CACERES",
        "first_name": "ANA",
        "middle_name": "CRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "TX",
            "license": "40066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.