Ehesar Caffroni, DDS,MSD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

33346 Issued in TX

Practice address

11828 Ring Dr Ste 102
Manor, TX 78653-2106

Phone

(512) 640-5435

NPI assigned

Aug 19, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1275932964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ISABELLA WAY",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786422197",
            "telephone_number": "954-854-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11828 RING DR STE 102",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786532106",
            "telephone_number": "512-640-5435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1395 Center Dr",
            "address_2": "Room D1-19",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103006",
            "country_code": "US",
            "telephone_number": "352-273-6910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAFFRONI",
        "first_name": "EHESAR",
        "credential": "DDS,MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DRP #1173",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "33346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275932964",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Brown, CNP
• Jason Brown, PMHNP
• Patricia Diane Brown
• Stephanie Brubaker, P.T.
• Stella Maris Caballero, D.D.S.
• Madia Canali, LMSW
• Michael Epstein Cantu, BCBA
• Mirhanda Zoe Cardenas
• Care Elevated LLC (Comfort Keepers)
• Donna Carpenter, PHD

• Prosthodontics in Manor, TX
• Providers in Manor, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.