Vincent John Cavaretta III, D.D.S.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

23820 Issued in TX

Practice address

4201 Bee Caves Rd
Suite a-103
Austin, TX 78746-6458

Phone

(512) 327-7233

Fax

(512) 327-7434

NPI assigned

Feb 17, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Dustin L. Reid, MD PA

  • Plastic and Reconstructive Surgery Physician
  • Austin, TX
  • NPI 1477675254
  NPD (past)
• Hill Country Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • West Lake Hills, TX
  • NPI 1386973030
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1841439734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD",
            "address_2": "SUITE A-103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466458",
            "telephone_number": "512-327-7233",
            "fax_number": "512-327-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD",
            "address_2": "SUITE A-103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466458",
            "telephone_number": "512-327-7233",
            "fax_number": "512-327-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVARETTA",
        "first_name": "VINCENT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "23820",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "23820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Ayn Cauthen, PSY.D.
• Paul D Cauvin, MD
• Maridee C Cavalida, PT
• Candace J Cavanaugh
• Magnolia Deloise Cavanaugh, LCDC
• Alexandra Marie Cavasini
• Elaine H Cavazos, MSW
• Ivana Cavazos, DPT
• Olivia Cavazos, MS, RD, LD
• Renee Amanda Cavazos

• Oral and Maxillofacial Pathology Dentistry in Austin, TX
• Providers in Austin, 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 Dec 1, 2009; 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.