Individual provider Active NPI

Eric Carl Appelin, DMD

  • Dentist
  • Monterey, CA
National Provider Identifier
1093971194
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58857 Issued in CA
Practice address
971 Pacific St
Monterey, CA 93940-4447
Phone
(831) 375-4750
Fax
(831) 375-4265
NPI assigned
Jul 29, 2008
Last updated
Nov 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 654 FL
Dentist 122300000X 054562-1 NY
Dentist 122300000X 58857 CA Primary

Addresses

Primary practice location

971 Pacific St
Monterey, CA 93940-4447

Mailing address

971 Pacific St
Monterey, CA 93940-4447
Phone (831) 375-4750

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
58857CAMDDentist
054562-1NYMDDentist
654FLMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Endodontics, Inc. Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1093971194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 PACIFIC ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404447",
            "telephone_number": "831-375-4750",
            "fax_number": "831-375-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 PACIFIC ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404447",
            "telephone_number": "831-375-4750",
            "fax_number": "831-375-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPELIN",
        "first_name": "ERIC",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "654",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054562-1",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.