Cesar Trevino, D.D.S

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

20679 Issued in TX

Practice address

6419 Polaris Dr Ste a-3
Laredo, TX 78041-2090

Phone

(956) 795-1010

Fax

(956) 795-1040

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Saint Joseph Oral & Maxillofacial

  • Oral and Maxillofacial Pathology Dentistry
  • Laredo, TX
  • NPI 1104956630
  NPD (past) Authorized official
• Reconstructive Oral and Maxillofacial Surgery PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Edinburg, TX
  • NPI 1629067657
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1811027428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 POLARIS DR STE A-3",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412090",
            "telephone_number": "956-795-1010",
            "fax_number": "956-795-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 POLARIS DR STE A-3",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412090",
            "telephone_number": "956-795-1010",
            "fax_number": "956-795-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "20679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151777302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alonso Trevino IV, MD
• Ariana Trevino Trevino, M.S., LPC-ASSOCIATE
• Bertha Cristina Trevino, LPC
• Beth A. Trevino, MD
• Carlos Servando Trevino, RLD
• Cristina Trevino, ST
• Daniel Trevino
• Deisy Trevino
• Delia V. Trevino, P.T.A.
• Edgar Alberto Trevino, M.D.

• Oral and Maxillofacial Pathology Dentistry in Laredo, TX
• Providers in Laredo, TX by specialty
• Oral and Maxillofacial Pathology Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.