Individual provider Active NPI

Julio Eduardo Caceres, D.D.S.

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1629265723
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49850 Issued in CA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Adriana S Perez DMD Inc. CurrentSince Aug 15, 2021 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.

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.

Verify at the official NPI Registry.