Individual provider Active NPI

Veronica A Cervantes-Prado, DDS

  • General Practice Dentistry
  • Woodland, CA
National Provider Identifier
1841203502
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54300 Issued in CA
Practice address
175 W Court St
Woodland, CA 95695-2913
Phone
(530) 661-4430
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 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 54300 CA Primary

Addresses

Primary practice location

175 W Court St
Woodland, CA 95695-2913

Mailing address

PO Box 9067
Vallejo, CA 94591-9067
Phone (707) 557-5822

Other names 1

  • Dr. Veronica A Prado Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221214002405 TX Order and Referring Only - DentistPractitioner - Dentist 8527060599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54300CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alma C. Serafini Dental Corporation General Practice Past Accepting new patients
Cervantes and Prado Dental Care, Inc Dentist Past Accepting new patients
Northern Valley Indian Health Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: veronica.cervantesprado@nvih.eclinicaldirectplus.com

Organizations & group practices 3

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1841203502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9067",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945919067",
            "telephone_number": "707-557-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W COURT ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952913",
            "telephone_number": "530-661-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES-PRADO",
        "first_name": "VERONICA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-08-21",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "PRADO",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodland, CA

Sources for this page

Verify at the official NPI Registry.