Active NPI
Virginia Cavero, DDS
- Dentist
- Hollister, CA
National Provider Identifier
1659417392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36736
- Practice address
- 345 5 Street
Suite 2
Hollister, CA 95023-3844 - Phone
- (831) 636-6510
- Fax
- (831) 636-6511
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 36736 | CA | Primary |
Addresses
Primary practice location
345 5 Street
Suite 2
Hollister, CA 95023-3844
Mailing address
345 5 Street
Suite 2
Hollister, CA 95023-3844
Phone (831) 636-6510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B36736 01 | Other | CA | DENTI CAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36736 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659417392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 5 STREET",
"address_2": "SUITE 2",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950233844",
"telephone_number": "831-636-6510",
"fax_number": "831-636-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 5 STREET",
"address_2": "SUITE 2",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950233844",
"telephone_number": "831-636-6510",
"fax_number": "831-636-6511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVERO",
"first_name": "VIRGINIA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "36736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI CAL",
"identifier": "B36736 01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollister, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.