Organization Active NPI

Jose a. Acosta-Cuevas, DDS, Inc.

  • Dentist
  • Elk Grove, CA
National Provider Identifier
1225248560
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D50555 Issued in CA
Legal business name
JOSE A. ACOSTA-CUEVAS, DDS, INC.
Practice address
8461 Elk Grove Blvd
Elk Grove, CA 95758-9573
Phone
(916) 683-3775
Fax
(916) 683-3164
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Jose Antonio Acosta-Cuevas, D.D.S.NPI 1700917986
Title
President
Phone
(916) 683-3775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D50555 CA Primary

Addresses

Primary practice location

8461 Elk Grove Blvd
Elk Grove, CA 95758-9573

Mailing address

10232 Stathos Dr
Elk Grove, CA 95757-5995
Phone (916) 685-4966

Other identifiers 1

IdentifierTypeStateIssuer
1700917986OtherCA1223G0001X

National Provider Directory

National Provider Directory

Locations

8461 Elk Grove Blvd
Elk Grove, CA 95758
Phone (916) 683-3775

Practitioners & affiliated clinicians

Practitioners 2

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1225248560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10232 STATHOS DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575995",
            "telephone_number": "916-685-4966",
            "fax_number": "916-685-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8461 ELK GROVE BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957589573",
            "telephone_number": "916-683-3775",
            "fax_number": "916-683-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A. ACOSTA-CUEVAS, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "ACOSTA-CUEVAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-683-3775",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D50555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1223G0001X",
            "identifier": "1700917986",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.