Caroline Devincenzi Arceo, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DDS104837 Issued in CA

Practice address

177 Santa Rosa St
San Luis Obispo, CA 93405-2431

Phone

(805) 544-2381

NPI assigned

Jul 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 3, 2025 through Dec 3, 2027

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Goroski Dental Corporation

  • Periodontics
  • Paso Robles, CA
  • NPI 1669777199
  NPD (past)

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1285086728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 SANTA ROSA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934052431",
            "telephone_number": "805-544-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 SANTA ROSA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934052431",
            "telephone_number": "805-544-2381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 Vine St",
            "address_purpose": "LOCATION",
            "city": "Paso Robles",
            "state": "CA",
            "postal_code": "934462559",
            "country_code": "US",
            "telephone_number": "805-238-9581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5075 S Bradley Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Orcutt",
            "state": "CA",
            "postal_code": "934555077",
            "country_code": "US",
            "telephone_number": "805-238-9581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCEO",
        "first_name": "CAROLINE",
        "middle_name": "DEVINCENZI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS104837",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D11162",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Lindvall Aquino, MD
• Tia Araminta
• Joey Araujo II
• Monique Araya, M.D.
• Dustin Arbuckle
• Michelle Archer
• Aisha Arebalo-Todd
• Madeleine Therese Arel, MS, OTR/L
• Carol D. Arigo, OTR, CHT
• Armando Siqueiros MD Inc

• Periodontics in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.