Organization Active NPI

Caballero DDS, Round Rock, PC

Doing business as Brush 32 Dental

  • General Practice Dentistry
  • Round Rock, TX
National Provider Identifier
1164713228
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CABALLERO DDS, ROUND ROCK, PC
Doing business as
Brush 32 Dental
Practice address
110 North I-35
Suite 380
Round Rock, TX 78681
Phone
(512) 462-3232
NPI assigned
Apr 25, 2011
Last updated
Apr 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Dr. Stella Maris Caballero, DDS
Title
President
Phone
(512) 462-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

110 North I-35
Suite 380
Round Rock, TX 78681

Mailing address

17500 Reed Park Rd
Suite 100
Jonestown, TX 78645-4487
Phone (512) 462-3232

Other names 1

  • Brush 32 Dental Doing business as

National Provider Directory

National Provider Directory

Locations

110 N Interstate 35
Ste 380
Round Rock, TX 78681
Phone (512) 238-1035

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1164713228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 REED PARK RD",
            "address_2": "SUITE 100",
            "city": "JONESTOWN",
            "state": "TX",
            "postal_code": "786454487",
            "telephone_number": "512-462-3232",
            "fax_number": "512-462-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NORTH I-35",
            "address_2": "SUITE 380",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78681",
            "telephone_number": "512-462-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABALLERO DDS, ROUND ROCK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "MARIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-462-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brush 32 Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 2011; 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.