Individual provider Active NPI

Franco Victorio Cevasco, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1700455011
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37283 Issued in TX
Practice address
5563 De Zavala Rd Ste 160
San Antonio, TX 78249-1738
Phone
(210) 696-7885
NPI assigned
Jun 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37283 TX Primary

Addresses

Primary practice location

5563 De Zavala Rd Ste 160
San Antonio, TX 78249-1738

Mailing address

7926 Broadway Apt 304
San Antonio, TX 78209-2685
Phone (512) 484-7152

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
37283TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dezavala Family Dental, PLLC General Practice PastSince Jun 27, 2021 Accepting new patients
Campos Family Dental, P.C. General Practice PastSince Jun 27, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1700455011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7926 BROADWAY APT 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092685",
            "telephone_number": "512-484-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5563 DE ZAVALA RD STE 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491738",
            "telephone_number": "210-696-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEVASCO",
        "first_name": "FRANCO",
        "middle_name": "VICTORIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.