John P. Endow, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2-37655 Issued in CA

Practice address

450 Rosewood Ave
Suite 105
Camarillo, CA 93010-5914

Phone

(805) 484-1022

Fax

(805) 484-3221

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sprague, Packham & Pizza Dental Corporation

  • General Practice Dentistry
  • Camarillo, CA
  • NPI 1225168156
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144352766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 ROSEWOOD AVE",
            "address_2": "SUITE 105",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105914",
            "telephone_number": "805-484-1022",
            "fax_number": "805-484-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ROSEWOOD AVE",
            "address_2": "SUITE 105",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105914",
            "telephone_number": "805-484-1022",
            "fax_number": "805-484-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDOW",
        "first_name": "JOHN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "2-37655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "850412 & 781138",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Elyashkevich, PSY.D.
• Ema CMHC
• Emericare Inc
• Emmy ABA Services
• Monqiue Enamorado
• Sarah A Engel
• Jolene Kay English
• Kayla Ann English
• Nicole Engstrom, NP
• Shannon Enochs, DNP, APRN, PMHNP-BC

• Periodontics in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.