NPIMap

Organization Active NPI

Carlos Caballero DDS,Ms, PS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Port Orchard, WA
National Provider Identifier
1487593646
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CARLOS CABALLERO DDS,MS, PS
Practice address
1890 Pottery Ave
Port Orchard, WA 98366-2510
Phone
(360) 895-9099
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carlos Caballero, DDS,MS,PSNPI 1235387960
Title
Owner/President
Phone
(360) 692-4811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1890 Pottery Ave
Port Orchard, WA 98366-2510

Mailing address

55 NE Fairgrounds Rd Ste 100
Bremerton, WA 98311-8629
Phone (360) 692-4811

Other practice location 1

55 NE Fairgrounds Rd Ste 100
Bremerton, WA 98311-8629
Phone (360) 692-4811

Other names 1

  • Master Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

55 NE Fairgrounds Rd
Ste 100
Bremerton, WA 98311
Phone (360) 692-4811

1890 Pottery Ave
Port Orchard, WA 98366
Phone (360) 895-9099

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1487593646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NE FAIRGROUNDS RD STE 100",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983118629",
            "telephone_number": "360-692-4811",
            "fax_number": "360-698-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 POTTERY AVE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662510",
            "telephone_number": "360-895-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 NE Fairgrounds Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983118629",
            "country_code": "US",
            "telephone_number": "360-692-4811",
            "fax_number": "360-698-0828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARLOS CABALLERO DDS,MS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "360-692-4811",
        "authorized_official_credential": "DDS,MS,PS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Master Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.