William Robert Dapper, DDS MAGD FICOI

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

003566 Issued in CA

Practice address

128 W El Portal
San Clemente, CA 92672-4632

Phone

(949) 492-1984

Fax

(949) 492-1874

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194853598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W. EL PORTAL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92672",
            "telephone_number": "949-492-1984",
            "fax_number": "949-492-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W EL PORTAL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724632",
            "telephone_number": "949-492-1984",
            "fax_number": "949-492-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAPPER",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS MAGD  FICOI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "003566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin Tieu Dang, DO
• Daniel a. Choi, DDS, Inc.
• Daniel T. Tam, M.D. Inc
• Christian James Daniels
• Iluna Dano
• Darshana R. Kadakia MD Inc
• Ricardo Davalos, M.D.
• David Ahrens
• Tyler A Davis, DMD, MS
• Vilben Michael Merza De Guzman, NP

• General Practice Dentistry in San Clemente, CA
• Providers in San Clemente, CA by specialty
• General Practice Dentistry 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.