Individual provider Active NPI

Ricardo M. Macasaet, DDS

  • General Practice Dentistry
  • Elk Grove, CA
National Provider Identifier
1861613721
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037134 Issued in CA
Practice address
8457 Elk Grove Florin Rd Ste 130
Elk Grove, CA 95624-9564
Phone
(916) 681-8899
Fax
(916) 681-8890
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 037134 CA Primary

Addresses

Primary practice location

8457 Elk Grove Florin Rd Ste 130
Elk Grove, CA 95624-9564

Mailing address

8457 Elk Grove Florin Rd Ste 130
Elk Grove, CA 95624-9564
Phone (916) 681-8899

Other practice location 1

1020 Suncast Ln Ste 103
El Dorado Hills, CA 95762-9335
Phone (916) 941-2447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20181112001096 CA Order and Referring Only - DentistPractitioner - Dentist 1658625611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37134CAMDChiropractor
037134CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1861613721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8457 ELK GROVE FLORIN RD STE 130",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249564",
            "telephone_number": "916-681-8899",
            "fax_number": "916-681-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8457 ELK GROVE FLORIN RD STE 130",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249564",
            "telephone_number": "916-681-8899",
            "fax_number": "916-681-8890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Suncast Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "El Dorado Hills",
            "state": "CA",
            "postal_code": "957629335",
            "country_code": "US",
            "telephone_number": "916-941-2447",
            "fax_number": "916-941-2466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACASAET",
        "first_name": "RICARDO",
        "middle_name": "M.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "037134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.