Organization Active NPI

Julio E Caceres DDS, Inc

Doing business as dental paradise

  • Dental Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1851884373
Registry record updated Jun 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JULIO E CACERES DDS, INC
Doing business as
dental paradise
Practice address
1104 W 17TH St
Santa Ana, CA 92706-3506
Phone
(714) 914-1887
NPI assigned
Jun 9, 2018
Last updated
Jun 9, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
JULIO E CACERES DDS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2018

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

Authorized official

Name
Dr. Julio Caceres, DDSNPI 1629265723
Title
Ceo
Phone
(714) 914-1887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1104 W 17TH St
Santa Ana, CA 92706-3506

Mailing address

1104 W 17TH St
Santa Ana, CA 92706-3506
Phone (714) 914-1887

Other names 1

  • dental paradise Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Julio E Caceres DDS Inc2 organizations share this tax ID, including this one
Part of
Julio E Caceres DDS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1104 W 17th St
Santa Ana, CA 92706
Phone (714) 547-5155

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528502400000",
    "number": "1851884373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063506",
            "telephone_number": "714-914-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063506",
            "telephone_number": "714-914-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO E CACERES DDS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JULIO  E CACERES DDS, INC",
        "enumeration_date": "2018-06-09",
        "last_updated": "2018-06-09",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-914-1887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dental paradise",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "dental paradise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.