Amelia Mercedes Caceres Tejada, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23082 Issued in FL

Practice address

1942 Highland Oaks Blvd Ste B
Lutz, FL 33559-7410

Phone

(813) 235-4143

NPI assigned

Nov 18, 2017

Last updated

Sep 11, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Amelia Caceres DMD PLLC

  • General Practice Dentistry
  • Clearwater, FL
  • NPI 1841120433
  NPD
• Smilecraft Dental Studio

  • Dental Clinic/Center
  • Lutz, FL
  • NPI 1750132122
  NPD
• Professional Dental Alliance of Clearwater, PLLC

  • Dentist
  • Clearwater, FL
  • NPI 1447723804
  NPD (past)

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

{
    "created_epoch": "1510963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1346754900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W ROSS AVE APT 311",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022062",
            "telephone_number": "239-246-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 HIGHLAND OAKS BLVD STE B",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597410",
            "telephone_number": "813-235-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES TEJADA",
        "first_name": "AMELIA",
        "middle_name": "MERCEDES",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-18",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Maria Bush, D.D.S.
• Bush, Dr. P.a. (Perfect Smile Dental Studio)
• Robert Ian Bushey, PHARMD
• Michelle Marie Busot
• Robert Anthony Buzzeo, MD
• Chelsea Nicole Cady, MD
• Kayla Marie Calabro, PT, DPT
• Barbara Maday Calderon Izquierdo, MD
• Shatice Caldwell
• Joe Calhoun, LCSW

• General Practice Dentistry in Lutz, FL
• Providers in Lutz, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.