Peter P Cacos, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

58980 Issued in CA

Practice address

3440 Lomita Blvd Ste 340
Torrance, CA 90505-4887

Phone

(310) 530-9893

Fax

(310) 530-5756

NPI assigned

Sep 24, 2006

Last updated

Jan 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Manhattan Dental Care

  • General Practice Dentistry
  • Manhattan Beach, CA
  • NPI 1679866065
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1447350095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 VIA CORONEL",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741992",
            "telephone_number": "310-809-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD STE 340",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054887",
            "telephone_number": "310-530-9893",
            "fax_number": "310-530-5756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14650 Aviation Blvd Ste 185",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902506665",
            "country_code": "US",
            "telephone_number": "310-643-9711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CACOS",
        "first_name": "PETER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58980",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Caceres
• Kimberly Caceros, RN
• Phillip M Cacheris, M.D.
• Raquel Tadeo Cacho
• Danielle Cacioppo
• Roxana Cadena
• Fazlul Haq Cader, M.D.
• Jessica Caffey
• Arlan Cage, N.D.
• Andrew Nam Cai, M.D.

• Dentist in Torrance, CA
• Providers in Torrance, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.