Active NPI
Julio Eduardo Caceres, D.D.S.
- Dentist
- Santa Ana, CA
National Provider Identifier
1629265723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49850
- Practice address
- 517 N Main St Ste 300
Santa Ana, CA 92701-4686 - Phone
- (714) 564-7610
- NPI assigned
- Oct 2, 2007
- Last updated
- Oct 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 49850 | CA | Primary |
Addresses
Primary practice location
517 N Main St Ste 300
Santa Ana, CA 92701-4686
Mailing address
517 N Main St Ste 300
Santa Ana, CA 92701-4686
Phone (714) 564-7610
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adriana S Perez DMD Inc. | Current | Accepting new patients | |
| Julio E Caceres DDS, Inc | Dentist | Past | Accepting new patients |
| Julio E Caceres DDS, Inc | Past | Accepting new patients |
Locations
80 W Grand Blvd
Ste 111
Corona, CA 92882
Phone (951) 549-1111
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Santa Ana, CA
- NPI 1780744474
-
- General Practice Dentistry
- Corona, CA
- NPI 1427722933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1629265723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 N MAIN ST STE 300",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014686",
"telephone_number": "714-564-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 N MAIN ST STE 300",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014686",
"telephone_number": "714-564-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACERES",
"first_name": "JULIO",
"middle_name": "EDUARDO",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.