Chad Nathan Cacchio, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30022160 Issued in OH

Practice address

1700 W Lane Ave Ste 100
Columbus, OH 43221-3342

Phone

(614) 488-1313

Fax

(614) 488-1414

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in OH

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1346335007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W LANE AVE STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213342",
            "telephone_number": "614-488-1313",
            "fax_number": "614-488-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W LANE AVE STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213342",
            "telephone_number": "614-488-1313",
            "fax_number": "614-488-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCHIO",
        "first_name": "CHAD",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason D Cable, PA-C
• Teresa Cabrera Vera, DO
• Antonio Gabriel Cabrera, M.D.
• Brandon Lamar Cabrero, QMHS, CDCA
• Whitney Cabrero, RN
• Eder Caceres Reatiga, MD
• Valentina Celeste Caceres
• Carrie E. Cacioppo, MD
• Scott E. Cackler II, PA-C
• Michael Cackovic, MD

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.