CHRISTIAN CABELLO PEDIATRIC DENTISTRY (NPI# 1063962942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063962942 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN CABELLO PEDIATRIC DENTISTRY |
| Other Organization Name | DR.CC'S TOOTH FACTORY |
| Practice Address |
6910 Mcpherson Rd Suite 2 Laredo TX 78041-6407 |
| Practice Telephone | 9566255311 |
| Practice Fax Number | 9566255333 |
| Mailing Telephone | 9566255311 |
| Mailing Fax Number | 9566255333 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | DR. CHRISTIAN C CABELLO (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Telephone | 9566255311 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1750571139 | 05 | |
| TX | 1063962942 | 05 |
| Other Name | Type Code |
|---|---|
| Dr.CC's Tooth Factory | Doing Business As Name - Organization |
| Street Address |
6910 MCPHERSON RD SUITE 2 |
| City | LAREDO |
| State | TX |
| Zip Code | 78041-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932769817 | Alejandra Alcaraz | Case Manager/Care Coordinator | 6548 Springfield Ave # 202, Laredo, TX 78041 | 2019-06-13 |
| 1003371238 | Karina A De Anda | Physical Therapy Assistant | 7109 N Bartlett Ave, Suite 109, Laredo, TX 78041 | 2019-02-01 |
| 1396200515 | Julissa Rebeca Vazquez | Physical Therapy Assistant | 7109 N Bartlett Ave., Suite 109, Laredo, TX 78041 | 2019-02-01 |
| 1982168720 | Alexander Garcia Madriaga | Physical Therapy Assistant | Regent Care Center, 7001 Mcpherson Avenue, Laredo, TX 78041 | 2019-01-25 |
| 1528538154 | Laredo Operator 2 Ltd. | Skilled Nursing Facility | 4301 North Bartlett Avenue, Laredo, TX 78041 | 2018-11-27 |
| 1639648488 | Lhkp Optometry Pllc | Optometrist | 5401 Mcpherson Rd Suite 10, Laredo, TX 78041 | 2018-11-21 |
| 1699244624 | Clear Choice Er, LLC | Clinic/Center | 7105 Bartlett Ave., Laredo, TX 78041 | 2018-11-20 |
| 1407337702 | Yvonne Denetre Cisneros | Speech-Language Pathologist | 1505 Calle Del Norte Ste 440-460, Laredo, TX 78041 | 2018-08-24 |
| 1811476765 | Christina Marie Dilley | Occupational Therapy Assistant | 4301 North Bartlett Ave., Laredo, TX 78041 | 2018-08-11 |
| 1023595386 | Motion Behavioral Health | Case Management | 6548 Springfield Ave Num 202, Laredo, TX 78041 | 2018-07-19 |
| Find all providers in zip 78041 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619398278 | Tots To Teens Orthodontics | Dentist | 9902 Mcpherson Rd Ste 25, Laredo, TX 78045-6546 | 2013-12-30 |
| 1548506355 | Little Heroes Pediatric Denitstry Pllc | Dentist | 5220 Mcpherson Road Suite 1, Laredo, TX 78541 | 2012-12-26 |
| 1659616803 | Maria Murad | Dentist | 2316 S Zapata Hwy Ste 190, Laredo, TX 78046-6590 | 2012-11-29 |
| 1417264961 | Tots To Teens Pediatric Dentistry | Dentist | 9807 Sterling Loop Apt 9, Laredo, TX 78045-6586 | 2010-09-03 |
| 1801094909 | Roberto N Loar | Dentist | 5220 Mcpherson Rd, Suite 101, Laredo, TX 78041-7323 | 2007-07-10 |
| 1972551620 | Joseph B Castellano Jr. | Dentist | 7002 Mcpherson Ave, Suite 104, Laredo, TX 78041-6442 | 2006-05-05 |
| 1154327344 | Felipe Heberto Esparza | Dentist | 1318 E Lane St, Laredo, TX 78040-7211 | 2005-06-22 |
| 1902265440 | Adam Bahr | Dentist | 9902 Mcpherson Rd Ste 25, Laredo, TX 78045 | 2016-02-11 |
| 1902272800 | Yvonne Akosua Felli | Dentist | 9902 Mcpherson Rd Ste 25, Laredo, TX 78045 | 2015-08-13 |
| 1720472707 | Pediatric Dentistry | Dentist | 1318 E Lane St, Laredo, TX 78040-7211 | 2015-03-26 |
| Find all providers in LAREDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.