Organization Active NPI

Cabral and Teixeira Family Dental Practice

  • Dentist
  • Turlock, CA
National Provider Identifier
1205608916
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CABRAL AND TEIXEIRA FAMILY DENTAL PRACTICE
Practice address
875 E Canal Dr Ste 8
Turlock, CA 95380-4542
Phone
(209) 632-3101
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Luis Teixeira
Title
Owner
Phone
(209) 632-3101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

875 E Canal Dr Ste 8
Turlock, CA 95380-4542

Mailing address

875 E Canal Dr Ste 8
Turlock, CA 95380-4542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240418002668 CA DME Supplier - Oral Surgery - Dentist 7315386646 Practice locations: Turlock, CA

National Provider Directory

National Provider Directory

Locations

875 E Canal Dr
Ste 8
Turlock, CA 95380
Phone (209) 632-3101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1205608916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 E CANAL DR STE 8",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 E CANAL DR STE 8",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804542",
            "telephone_number": "209-632-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABRAL AND TEIXEIRA FAMILY DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "TEIXEIRA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-632-3101"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.