DR. LILIANA CAICEDO DDS
NPI 1508140591
Dentist in Lakeport, CA

Q: What is Liliana Caicedo's NPI number?

The NPI number for Liliana Caicedo is 1508140591. It was assigned to this individual provider in the NPPES registry on October 7, 2011.

Q: What is Liliana Caicedo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Liliana Caicedo was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 07, 2011PECOS Enrolled

925 BEVINS CT, LAKEPORT, CA 95453(707) 263-8382 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2024, May 10, 2024 (2 updates tracked since 2024).

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About Dr. Liliana Caicedo Dds NPPES

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

DR. LILIANA CAICEDO DDS (NPI 1508140591) is an individual dentist in Lakeport, California, licensed in California (55201) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clearlake.

NPPES Registry Identity

NPI1508140591

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. LILIANA CAICEDOCredential: DDS

Location Address925 BEVINS CTLakeport, CA 95453-9754

Mailing AddressPo Box 1950Lakeport, CA 95453-1950 · (707) 263-8383 · Fax (707) 263-5019

Phone(707) 263-8382

Sole ProprietorNo

Enumeration DateOctober 7, 2011

Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration

NPPES CertifiedAugust 1, 2025

✔ NPI 1508140591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 55201

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.

925 BEVINS CT, Lakeport, CA 95453

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Secondary Practice Location 1

Location 114440 Olympic DriveClearlake, CA 95422-8809 · Phone (707) 263-8383 · Fax (707) 263-5019

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Liliana Caicedo Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95453 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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 20

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

MERRILL FEATHERSTONE MFC

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