Active NPI
Nick Gregorio Cayetano, DENTAL ASSISTANT
- Dental Assistant
- Colorado Springs, CO
National Provider Identifier
1851804595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Practice address
- 7205 Coral Ridge Dr
Colorado Springs, CO 80925-9404 - Phone
- (210) 859-3527
- NPI assigned
- Nov 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Primary |
Addresses
Primary practice location
7205 Coral Ridge Dr
Colorado Springs, CO 80925-9404
Mailing address
7205 Coral Ridge Dr
Colorado Springs, CO 80925-9404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1851804595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7205 CORAL RIDGE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809259404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7205 CORAL RIDGE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809259404",
"telephone_number": "210-859-3527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAYETANO",
"first_name": "NICK",
"middle_name": "GREGORIO",
"name_prefix": "Mr.",
"credential": "DENTAL ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-15",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.