Individual provider Active NPI

Franklin Antonio Cordero, DMD

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1780917278
Registry record updated Oct 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58553 Issued in CA
Practice address
651 I St
Sacramento, CA 95814-2417
Phone
(916) 874-5764
NPI assigned
Sep 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2023

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 58553 CA Primary

Addresses

Primary practice location

651 I St
Sacramento, CA 95814-2417

Mailing address

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 569-8484

Other practice location 1

4815 Watt Ave
North Highlands, CA 95660-5108
Phone (916) 454-2345

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
I20231103002167 CA Order and Referring Only - DentistPractitioner - Dentist 9638526288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58553CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Cordero DMD, Inc. General Practice Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697846400000",
    "number": "1780917278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE STE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251098",
            "telephone_number": "916-569-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 I ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958142417",
            "telephone_number": "916-874-5764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Watt Ave",
            "address_purpose": "LOCATION",
            "city": "North Highlands",
            "state": "CA",
            "postal_code": "956605108",
            "country_code": "US",
            "telephone_number": "916-454-2345",
            "fax_number": "916-457-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "FRANKLIN",
        "middle_name": "ANTONIO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.