Wilner Clifford Cacho, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39376 Issued in CA

Practice address

903 W Center St
Ste 5
Manteca, CA 95337-7315

Phone

(209) 824-0214

Fax

(209) 824-0812

NPI assigned

Aug 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eric Swenson Dental Incorporated

  • Dental Clinic/Center
  • Manteca, CA
  • NPI 1891564993
  NPD (past)
• Matthew Kim Dental Corp

  dba Walnut Plaza Dental

  • Dental Clinic/Center
  • Manteca, CA
  • NPI 1659943280
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225143829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W CENTER ST",
            "address_2": "STE 5",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377315",
            "telephone_number": "209-824-0214",
            "fax_number": "209-824-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W CENTER ST",
            "address_2": "STE 5",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377315",
            "telephone_number": "209-824-0214",
            "fax_number": "209-824-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACHO",
        "first_name": "WILNER",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betalina Blanco Bumatay, M.D.
• Brittani D Burns
• Jody Burriss
• Chevelle Butler
• Swarna Byri, M.D
• Crystal Cadena
• Mas'Ood Cajee, DDS
• Nabeel Ahmed Cajee, D.D.S.
• Cal Kidney Care Inc
• California Em-I Medical Services, a Medical Corporation

• General Practice Dentistry in Manteca, CA
• Providers in Manteca, CA by specialty
• General Practice Dentistry in California

• 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.