Individual provider Active NPI

Caton James State, DDS, MS

  • Periodontics
  • Placerville, CA
National Provider Identifier
1609035344
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
53874 Issued in CA
Practice address
3171 Washington St.
#D
Placerville, CA 95667-5831
Phone
(530) 626-6320
Fax
(530) 626-5573
NPI assigned
Jun 6, 2008
Last updated
Apr 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 53874 CA Primary

Addresses

Primary practice location

3171 Washington St.
#D
Placerville, CA 95667-5831

Mailing address

3105 Cedar Ravine Rd Ste 203
Placerville, CA 95667-6561
Phone (530) 626-6320

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
53874CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1609035344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 CEDAR RAVINE RD STE 203",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676561",
            "telephone_number": "530-626-6320",
            "fax_number": "530-626-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 WASHINGTON ST.",
            "address_2": "#D",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675831",
            "telephone_number": "530-626-6320",
            "fax_number": "530-626-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATE",
        "first_name": "CATON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "53874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.