Caton J State DDS Ms PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CATON J STATE DDS MS PC

Doing business as

Caton J. State DDS

Practice address

3105 Cedar Ravine Road
Suite 203
Placerville, CA 95667

Phone

(530) 626-6320

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Jadgev Heir

Title

Ceo/President

Phone

(518) 441-5483

Specialties & licenses 2

Addresses

Other names 1

• Caton J. State DDS Doing business as

Locations

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1215617121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 TRUXEL ROAD",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 CEDAR RAVINE ROAD",
            "address_2": "SUITE 203",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-626-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATON J STATE DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "HEIR",
        "authorized_official_first_name": "JADGEV",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "518-441-5483"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caton J. State DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Edward Carter, MD
• Mathew Pericles Carvalho
• Kyle William Case, SUDRC
• Nancy Patricia Casey, OT
• Lyah Alexandra Castleberry
• Cedar Eye Center Medical Group
• Samuel J W Ceridon, M.D.
• James Walker Chalmers
• Eshita Chandan X, PT
• Chean Tau Chang, DDS

• Periodontics in Placerville, CA
• Providers in Placerville, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.