NPIMap

Organization Active NPI

John L. Eller D.D.S

  • General Practice Dentistry
  • Paso Robles, CA
National Provider Identifier
1154537371
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21247 Issued in CA
Legal business name
JOHN L. ELLER D.D.S
Practice address
433 12TH St
Paso Robles, CA 93446-2208
Phone
(805) 238-1118
Fax
(805) 237-8113
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John L Eller, D.D.SNPI 1508978529
Title
Owner
Phone
(805) 238-1118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21247 CA Primary

Addresses

Primary practice location

433 12TH St
Paso Robles, CA 93446-2208

Mailing address

433 12TH St
Paso Robles, CA 93446-2208
Phone (805) 238-1118

National Provider Directory

National Provider Directory

Locations

433 12th St
Paso Robles, CA 93446
Phone (805) 238-1118

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154537371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 12TH ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462208",
            "telephone_number": "805-238-1118",
            "fax_number": "805-237-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 12TH ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462208",
            "telephone_number": "805-238-1118",
            "fax_number": "805-237-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. ELLER D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-238-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.