Cesar Raul Alburez-Sosa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.029759 Issued in IL

Practice address

819 Bloomington Rd
Champaign, IL 61820-2101

Phone

(860) 538-4064

NPI assigned

Jul 19, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Cesar Raul Lucas Alburez Sosa Other name

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1982917043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 DOISY LN",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221038",
            "telephone_number": "860-538-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 BLOOMINGTON RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618202101",
            "telephone_number": "860-538-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBUREZ-SOSA",
        "first_name": "CESAR",
        "middle_name": "RAUL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ZZ",
            "license": "2842",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CESAR",
            "last_name": "ALBUREZ SOSA",
            "middle_name": "RAUL LUCAS",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Whitney Akhtar
• Saad Al-Kadhi, M.D.
• Thair Al-Saqri
• Alan Haussermann
• Jodi M Albert, JODI M ALBERT
• Nelly Cristina Alcala
• Dua Aldasouqi, MA, RDN
• Kate Naomi Aldridge
• Alexander Chiropractic Care Clinic
• Diane Lauren Alexander, LCPC

• General Practice Dentistry in Champaign, IL
• Providers in Champaign, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.