Individual provider Active NPI

Christian C Cacho

  • Endodontics
  • San Juan, PR
National Provider Identifier
1639329832
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2808 Issued in PR
Practice address
Cond. Iberia I, Apt. 301
Altamira
San Juan, PR 00920-2515
Phone
(787) 237-7347
NPI assigned
Sep 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054070 NY
Endodontics 1223E0200X 2808 PR Primary

Addresses

Primary practice location

Cond. Iberia I, Apt. 301
Altamira
San Juan, PR 00920-2515

Mailing address

Cond. Iberia I, Apt. 301
Altamira
San Juan, PR 00920-2515
Phone (787) 237-7347

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

State licenses

LicenseStateTypeSpecialty
054070NYMDDentist
2808PRMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1639329832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND. IBERIA I, APT. 301",
            "address_2": "ALTAMIRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202515",
            "telephone_number": "787-237-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND. IBERIA I, APT. 301",
            "address_2": "ALTAMIRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202515",
            "telephone_number": "787-237-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACHO",
        "first_name": "CHRISTIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054070",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PR",
            "license": "2808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.