DR. CHRIS ALLEN CERCEO D.D.S.
NPI 1629091012
Dentist - General Practice in South Lake Tahoe, CA

Q: What is Chris Cerceo's NPI number?

The NPI number for Chris Cerceo is 1629091012. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Chris Cerceo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Chris Cerceo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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 July 26, 2006

1077 4TH ST, SOUTH LAKE TAHOE, CA 96150(530) 541-1353 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Chris Allen Cerceo D.d.s. NPPES

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

DR. CHRIS ALLEN CERCEO D.D.S. (NPI 1629091012) is an individual general practice provider in South Lake Tahoe, California, licensed in California (DK28289) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1629091012

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CHRIS ALLEN CERCEOCredential: D.D.S.

Location Address1077 4TH STSouth Lake Tahoe, CA 96150-3459

Mailing Address1077 4th StSouth Lake Tahoe, CA 96150-3459 · (530) 541-1353

Phone(530) 541-1353

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629091012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · DK28289

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1077 4TH ST, South Lake Tahoe, CA 96150

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Other Providers at the Same Location NPPES 2

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

DARRYL T. AZOUZ, D.D.S., INC.

Clinic/Center (Dental)

1077 4TH ST
SOUTH LAKE TAHOE, CA 96150

El Dorado County (530) 541-1353

DR. JEANIE F KAUFMAN D.D.S.

Dentist

1077 4TH ST
SOUTH LAKE TAHOE, CA 96150

El Dorado County (530) 541-1353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chris Cerceo's NPI number?

The NPI number for Chris Cerceo is 1629091012. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Chris Cerceo located?

Chris Cerceo practices at 1077 4th St, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-1353.

What is Chris Cerceo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Chris Cerceo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.