Individual provider Active NPI

Sabine Anita Purps, DDS

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1053521013
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
247157 Issued in CA
Practice address
1764 San Diego Ave
#130
San Diego, CA 92110-1987
Phone
(619) 295-6500
Fax
(619) 295-6509
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 247157 CA Primary

Addresses

Primary practice location

1764 San Diego Ave
#130
San Diego, CA 92110-1987

Mailing address

1764 San Diego Ave
#130
San Diego, CA 92110-1987
Phone (619) 295-6500

Other identifiers 1

IdentifierTypeStateIssuer
330954348OtherCATAX IDENTIFICATION

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
247157CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1053521013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 SAN DIEGO AVE",
            "address_2": "#130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101987",
            "telephone_number": "619-295-6500",
            "fax_number": "619-295-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 SAN DIEGO AVE",
            "address_2": "#130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101987",
            "telephone_number": "619-295-6500",
            "fax_number": "619-295-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURPS",
        "first_name": "SABINE",
        "middle_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "247157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "330954348",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.