Individual provider Active NPI

Christopher Demeyer, DDS

  • Dentist
  • Encinitas, CA
National Provider Identifier
1013565043
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS104288 Issued in CA
Practice address
1340 Encinitas Blvd Unit 100
Encinitas, CA 92024-2844
Phone
(760) 942-3900
NPI assigned
Sep 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS104288 CA Primary

Addresses

Primary practice location

1340 Encinitas Blvd Unit 100
Encinitas, CA 92024-2844

Mailing address

3541 Wilcox St
San Diego, CA 92106-2854
Phone (619) 316-4219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS104288CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Park and Rygg Dental Corporation PastSince Sep 8, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1013565043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 WILCOX ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062854",
            "telephone_number": "619-316-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 ENCINITAS BLVD UNIT 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242844",
            "telephone_number": "760-942-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEYER",
        "first_name": "CHRISTOPHER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS104288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.