Dennis Caezar Cavaltera

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

1420 Dillson Rd
San Bernardino, CA 92404-1544

Phone

(626) 543-4964

NPI assigned

Apr 27, 2021

Last updated

Apr 27, 2021By the provider in NPPES

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 names 1

• Dennis Caezar Cavaltera Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1861074916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 DILLSON RD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041544",
            "telephone_number": "626-543-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 DILLSON RD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041544",
            "telephone_number": "626-543-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALTERA",
        "first_name": "DENNIS",
        "middle_name": "CAEZAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "CAVALTERA",
            "middle_name": "CAEZAR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Driver in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.