Carol Lynn Cabanas, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41362 Issued in CA

Practice address

72027 Highway 111
Suite C
Rancho Mirage, CA 92270

Phone

(760) 340-5155

Fax

(760) 340-1607

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cabanas and Lee Dental Corporation

  dba Rancho Mirage Dental Group

  • General Practice Dentistry
  • Rancho Mirage, CA
  • NPI 1083893580
  NPD (past) Authorized official

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1649498379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72027 HIGHWAY 111",
            "address_2": "SUITE C",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-340-5155",
            "fax_number": "760-340-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72027 HIGHWAY 111",
            "address_2": "SUITE C",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-340-5155",
            "fax_number": "760-340-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANAS",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burton C Blaurock OD (Elegant Eye Optometry)
• Robert Joseph Bush, MD
• Kelly J. Bustos, NURSE PRACTICTIONER
• Evelyn Caballero, M.D.
• Cabanas and Lee Dental Corporation (Rancho Mirage Dental Group)
• Ricardo Gonzalez Cacdac, MD
• Robert Cacdac
• California Addiction Treatment Center LLC (Desert View Recovery, LLC)
• Linda L. Calvin, LMFT RAS
• Christina A Campbell, HAD

• General Practice Dentistry in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.