Active NPI
Theresa Anne Repasky, DDS
- General Practice Dentistry
- Soledad, CA
National Provider Identifier
1225207301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32168
- Practice address
- 5 Miles North of Soledad, Ca on Highway 101
Soledad, CA 93960-0686 - Phone
- (831) 678-3951
- Fax
- (831) 678-5907
- NPI assigned
- Feb 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32168 | CA | Primary |
Addresses
Primary practice location
5 Miles North of Soledad, Ca on Highway 101
Soledad, CA 93960-0686
Mailing address
PO Box 686
Correctional Training Facility
Soledad, CA 93960-0686
Phone (831) 678-3951
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32168 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CTF Pharmacy | 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 and National Provider Directory roles.
-
- Psychiatric Residential Treatment Facility
- Soledad, CA
- NPI 1699801613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1225207301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 686",
"address_2": "CORRECTIONAL TRAINING FACILITY",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "939600686",
"telephone_number": "831-678-3951",
"fax_number": "831-678-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MILES NORTH OF SOLEDAD, CA ON HIGHWAY 101",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "939600686",
"telephone_number": "831-678-3951",
"fax_number": "831-678-5907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPASKY",
"first_name": "THERESA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "32168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soledad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.