Active NPI
Cabral and Teixeira Family Dental Practice
- Dentist
- Turlock, CA
National Provider Identifier
1205608916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240418002668 | CA | DME Supplier - Oral Surgery - Dentist | 7315386646 | Practice locations: Turlock, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Livingston, CA
- NPI 1770747545
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.