Jeffrey C Cabot, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026574L Issued in PA

Practice address

301 Bainbridge St
Philadelphia, PA 19147-1543

Phone

(215) 925-7330

Fax

(215) 925-7331

NPI assigned

Oct 24, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1386727055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BAINBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471543",
            "telephone_number": "215-925-7330",
            "fax_number": "215-925-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BAINBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471543",
            "telephone_number": "215-925-7330",
            "fax_number": "215-925-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABOT",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI017168",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026574L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yessenia Leonor Caballero-Tilleria, PAC
• Amberly Brook Caballero, MSED, BCBA, BSL, IEC
• Angela Cabassa, CRNP
• Heather Lynn Cabeceiro, LCSW
• Whitney Vielka Cabey, M.D.
• Gracen Cabral
• Vanessa Guadalupe Cabrera Saez, DMD
• Juan Carlos Cabrera, DMD,MS
• Keven I Cabrera, MD
• Colleen Elaine Cacace, MSED

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.