Individual provider Active NPI

Sophia Esperanza Cadet, DDS

  • General Practice Dentistry
  • Rialto, CA
National Provider Identifier
1740613066
Registry record updated Aug 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62422 Issued in CA
Practice address
1629 S Riverside Ave
Rialto, CA 92376-7707
Phone
(909) 421-2225
Fax
(909) 421-2099
NPI assigned
Aug 11, 2013
Last updated
Aug 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2013

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 62422 CA Primary

Addresses

Primary practice location

1629 S Riverside Ave
Rialto, CA 92376-7707

Mailing address

25967 Redlands Blvd
Apt D
Redlands, CA 92373-8480
Phone (561) 201-3513

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150728005737 CA Order and Referring Only - DentistPractitioner - Dentist 1456665975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sudhakar R. Chokka, DDS, Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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": "1376179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376179200000",
    "number": "1740613066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25967 REDLANDS BLVD",
            "address_2": "APT D",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738480",
            "telephone_number": "561-201-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 S RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767707",
            "telephone_number": "909-421-2225",
            "fax_number": "909-421-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADET",
        "first_name": "SOPHIA",
        "middle_name": "ESPERANZA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-11",
        "last_updated": "2013-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

Verify at the official NPI Registry.