NPIMap

Organization Active NPI

Cabugao DDS Inc

Doing business as Encore at 32 Dental

  • Dental Clinic/Center
  • American Canyon, CA
National Provider Identifier
1669848727
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
58945 Issued in CA
Legal business name
CABUGAO DDS INC
Doing business as
Encore at 32 Dental
Practice address
6040 Main St
Suite 146
American Canyon, CA 94503-1390
Phone
(707) 562-4090
Fax
(707) 562-4099
NPI assigned
Aug 12, 2015
Last updated
Aug 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Dr. Kevin James Cabugao, DDS, MBANPI 1750617775
Title
President
Phone
(707) 562-4090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 58945 CA Primary

Addresses

Primary practice location

6040 Main St
Suite 146
American Canyon, CA 94503-1390

Mailing address

6040 Main St
Suite 146
American Canyon, CA 94503-1390
Phone (707) 562-4090

Other names 1

  • Encore at 32 Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6040 Main St
Ste 146
American Canyon, CA 94503
Phone (707) 562-4090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1669848727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 MAIN ST",
            "address_2": "SUITE 146",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031390",
            "telephone_number": "707-562-4090",
            "fax_number": "707-562-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 MAIN ST",
            "address_2": "SUITE 146",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031390",
            "telephone_number": "707-562-4090",
            "fax_number": "707-562-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABUGAO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "CABUGAO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-562-4090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "58945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore at 32 Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in American Canyon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.