Organization Active NPI

Caballero DDS, Cedar Park, PC

  • General Practice Dentistry
  • Cedar Park, TX
National Provider Identifier
1952604266
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17815 Issued in TX
Legal business name
CABALLERO DDS, CEDAR PARK, PC
Practice address
1201 North Bell Blvd
Suite 102
Cedar Park, TX 78613
Phone
(512) 945-3204
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Dr. Stella M Caballero, DDSNPI 1083806293
Title
President
Phone
(512) 801-0144

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17815 TX Primary

Addresses

Primary practice location

1201 North Bell Blvd
Suite 102
Cedar Park, TX 78613

Mailing address

17500 Reed Park Rd
Suite 100
Jonestown, TX 78645-4487

National Provider Directory

National Provider Directory

Locations

1201 N Bell Blvd
Ste 102
Cedar Park, TX 78613
Phone (512) 462-3232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1952604266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 REED PARK RD",
            "address_2": "SUITE 100",
            "city": "JONESTOWN",
            "state": "TX",
            "postal_code": "786454487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NORTH BELL BLVD",
            "address_2": "SUITE 102",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "512-945-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABALLERO DDS, CEDAR PARK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-801-0144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.