Maribel C Caudillo, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

6811 Issued in NE

Practice address

108 Cedardale Rd
Papillion, NE 68046-2817

Phone

(402) 932-3317

Fax

(402) 810-9602

NPI assigned

Jun 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Maribel Chavez Former name

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.

• Caudillo Dental, PC

  dba Inspired Dental

  • Dental Clinic/Center
  • Papillion, NE
  • NPI 1144001942
  NPD Authorized official

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1598992026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CEDARDALE RD",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462817",
            "telephone_number": "402-932-3317",
            "fax_number": "402-810-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CEDARDALE RD",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462817",
            "telephone_number": "402-932-3317",
            "fax_number": "402-810-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILLO",
        "first_name": "MARIBEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIBEL",
            "last_name": "CHAVEZ",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tamara Lea Caster
• Caitlin Casterton
• Liann Marie Cates
• Caudillo Dental, PC (Inspired Dental)
• Bobbie Caudillo
• Faith Cavender
• Caze Concussion Instittue
• Todd J Caze II, PHD
• Stacy Cerio, APRN-BC
• Amanda J Cervantes, M.D.

• Dentist in Papillion, NE
• Providers in Papillion, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.