Active NPI
Cesar Ricardo Otero, DDS
- Dentist
- Elk Grove Village, IL
National Provider Identifier
1982740858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019023335
- Practice address
- 60 Turner Ave
Lower Level West
Elk Grove Village, IL 60007-3956 - Phone
- (847) 228-0120
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 019023335 | IL | Primary |
Addresses
Primary practice location
60 Turner Ave
Lower Level West
Elk Grove Village, IL 60007-3956
Mailing address
1197 Windham LN
Elk Grove Village, IL 60007-7245
Phone (847) 891-1148
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 |
|---|---|---|---|
| 019023335 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Cesar Otero DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Elk Grove Village, IL
- NPI 1528104312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982740858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1197 WINDHAM LN",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600077245",
"telephone_number": "847-891-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 TURNER AVE",
"address_2": "LOWER LEVEL WEST",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073956",
"telephone_number": "847-228-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "CESAR",
"middle_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019023335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.