Andrea Raquel Cervantes, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

51554 Issued in CA

Practice address

8835 Sheldon Rd
Suite 140
Elk Grove, CA 95624-5046

Phone

(916) 681-8835

Fax

(916) 687-1004

NPI assigned

Apr 10, 2007

Last updated

Dec 2, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196553600000",
    "number": "1629291638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12393 KEATING RD",
            "city": "WILTON",
            "state": "CA",
            "postal_code": "956939679",
            "telephone_number": "916-214-1725",
            "fax_number": "916-687-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 SHELDON RD",
            "address_2": "SUITE 140",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245046",
            "telephone_number": "916-681-8835",
            "fax_number": "916-687-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "ANDREA",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose M Celan, NP
• Theodore Javelosa Celeste, BCTMB
• Melanie Centeno
• Matthew B Cepeda, MD
• Diana Ceron-Molina
• Katherine Anne Ceske, PH.D.
• Michelle Lyn Ceylan
• Jay Cha
• Joby Cha
• Melinda Cha

• Dentist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Dentist in California

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