Active NPI
Kristina Michelle Cesena, DDS
- Dentist
- San Luis Obispo, CA
National Provider Identifier
1891038527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62006
- Practice address
- 1708 Cordova Dr
San Luis Obispo, CA 93405-4715 - Phone
- (310) 490-6266
- NPI assigned
- Apr 1, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 62006 | CA | Primary |
Addresses
Primary practice location
1708 Cordova Dr
San Luis Obispo, CA 93405-4715
Mailing address
1708 Cordova Dr
San Luis Obispo, CA 93405-4715
Phone (310) 490-6266
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62006 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1891038527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 CORDOVA DR",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934054715",
"telephone_number": "310-490-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 CORDOVA DR",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934054715",
"telephone_number": "310-490-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CESENA",
"first_name": "KRISTINA",
"middle_name": "MICHELLE",
"name_prefix": "Miss",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-01",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.