Individual provider Active NPI

Cesar Acosta, DMD

  • General Practice Dentistry
  • Turlock, CA
National Provider Identifier
1730253253
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56924 Issued in CA
Practice address
1065 Colorado Ave
Suite 3
Turlock, CA 95380-2761
Phone
(209) 250-2560
Fax
(209) 250-2460
NPI assigned
Nov 17, 2006
Last updated
Feb 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5050 NV
General Practice Dentistry 1223G0001X 56924 CA Primary

Addresses

Primary practice location

1065 Colorado Ave
Suite 3
Turlock, CA 95380-2761

Mailing address

1065 Colorado Ave
Suite 3
Turlock, CA 95380-2761
Phone (209) 250-2560

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
5050NVMDDentist
56924CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1730253253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 COLORADO AVE",
            "address_2": "SUITE 3",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953802761",
            "telephone_number": "209-250-2560",
            "fax_number": "209-250-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 COLORADO AVE",
            "address_2": "SUITE 3",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953802761",
            "telephone_number": "209-250-2560",
            "fax_number": "209-250-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "5050",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.