DR. JACQUELINE CEBALLOS CORDERO DDS
NPI 1457926552
Dentist in West Palm Beach, FL

Q: What is Jacqueline Ceballos Cordero's NPI number?

The NPI number for Jacqueline Ceballos Cordero is 1457926552. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Q: What is Jacqueline Ceballos Cordero's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 21, 2021PECOS Enrolled

956 S MILITARY TRL, WEST PALM BEACH, FL 33415(561) 677-8874 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jacqueline Ceballos Cordero Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELINE CEBALLOS CORDERO DDS (NPI 1457926552) is an individual dentist in West Palm Beach, Florida, licensed in Florida (DN25822) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457926552

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JACQUELINE CEBALLOS CORDEROCredential: DDS

Location Address956 S MILITARY TRLWest Palm Beach, FL 33415-3910

Mailing Address111 E Franklin Ave Apt 203Minneapolis, MN 55404-2574 · (561) 506-0592

Phone(561) 677-8874

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMay 21, 2021

NPPES CertifiedMay 21, 2021

✔ NPI 1457926552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN25822

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

956 S MILITARY TRL, West Palm Beach, FL 33415

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline Ceballos Cordero Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890270607

PECOS Enrollment IDI20260330003912

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN ISRAEL STERN DDS

Dentist (Endodontics)