Individual provider Active NPI

Caroline M. Kacer, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Tucson, AZ
National Provider Identifier
1598093288
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D7887 Issued in AZ
Practice address
6471 N. la Cholla Blvd
101
Tucson, AZ 85741
Phone
(520) 742-6136
Fax
(520) 742-5721
NPI assigned
Nov 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D7887 AZ Primary

Addresses

Primary practice location

6471 N. la Cholla Blvd
101
Tucson, AZ 85741

Mailing address

6471 N la Cholla Blvd
101
Tucson, AZ 85741-3141
Phone (520) 742-6136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7887AZMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oralsurgerypros, LLC Oral and Maxillofacial Surgery Current Accepting new patients
Casas Adobes Oms PLLC Oral and Maxillofacial Surgery Past Accepting new patients

Locations

225 E Valencia Rd
Ste 135
Tucson, AZ 85706
Phone (520) 290-8787

150 N Pantano Rd
Ste 100
Tucson, AZ 85710
Phone (520) 290-8787

6450 N Oracle Rd
Tucson, AZ 85704
Phone (520) 290-8787

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1598093288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6471 N LA CHOLLA BLVD",
            "address_2": "101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413141",
            "telephone_number": "520-742-6136",
            "fax_number": "520-742-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6471 N. LA CHOLLA BLVD",
            "address_2": "101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85741",
            "telephone_number": "520-742-6136",
            "fax_number": "520-742-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACER",
        "first_name": "CAROLINE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D7887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.