Individual provider Active NPI

Marc Vincent Cauchon, D.M.D.

  • Dentist
  • Alachua, FL
National Provider Identifier
1124145719
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13420 Issued in FL
Practice address
14601 N.W. 140 Street
Alachua, FL 32615
Phone
(386) 418-3636
Fax
(386) 418-3630
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN13420 FL Primary

Addresses

Primary practice location

14601 N.W. 140 Street
Alachua, FL 32615

Mailing address

P.O. Box 1478
Alachua, FL 32616
Phone (386) 418-3636

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
DN13420FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Allin Dental Care PLLC PastSince Apr 21, 2024 Accepting new patients

Organizations & group practices 1

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124145719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1478",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "32616",
            "telephone_number": "386-418-3636",
            "fax_number": "386-418-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 N.W. 140 STREET",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "32615",
            "telephone_number": "386-418-3636",
            "fax_number": "386-418-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUCHON",
        "first_name": "MARC",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alachua, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.