Fernando Caballero, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9969 Issued in WA

Practice address

11511 NE 195TH St Ste 104
Bothell, WA 98011-5769

Phone

(425) 481-5302

NPI assigned

Dec 5, 2006

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

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 and National Provider Directory roles.

• Fernando Caballero, DDS and Isabel Perez, DDS, PS

  • General Practice Dentistry
  • Bothell, WA
  • NPI 1407978083
  NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1528126265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 NE 195TH ST STE 104",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115769",
            "telephone_number": "425-481-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 NE 195TH ST STE 104",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115769",
            "telephone_number": "425-481-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faiza Farrukh Butt, MD
• Gurpreet Kaur Buttar, LMT
• Byram Healthcare Centers, Inc.
• Rebecca A Byrne
• C'D Soil Counseling
• Martin C Cahn, MD PS
• Songrui Cai, RD
• Carlos E Caldera
• Brittney Campbell, RN
• Tonja M Campbell, BSN, RN, CCM, WWCP

• General Practice Dentistry in Bothell, WA
• Providers in Bothell, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.