Daniel Toribio Estacio, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47886 Issued in CA

Practice address

1140 E Chevy Chase Dr
Glendale, CA 91205-2511

Phone

(818) 247-3387

Fax

(818) 247-2680

NPI assigned

Mar 28, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• Daniel T. Estacio, DDS, Inc.

  • Preferred Provider Organization
  • Glendale, CA
  • NPI 1649467291
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1467571562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 E CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052511",
            "telephone_number": "818-247-3387",
            "fax_number": "818-247-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052511",
            "telephone_number": "818-247-3387",
            "fax_number": "818-247-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTACIO",
        "first_name": "DANIEL",
        "middle_name": "TORIBIO",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "G-93853-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyssa Esquibel
• Alexa Esquivel Morales
• Inessa Essaian, MD
• Essence Health and Urogynecology Corp.
• Essential Care Home Health, Inc.
• Nadia Estafanous, MFT
• Estelita B. Calica, M.D., Apc.
• Teo Estepani, ED.D
• Richard Hilton Esterwold
• Esther Yoon MD, Inc

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.