Individual provider Active NPI

Alan Jon Napoles, D.D.S.

  • General Practice Dentistry
  • Vandenberg AFB, CA
National Provider Identifier
1245262864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41963 Issued in CA
Practice address
338 S Dakota Ave
Ste 1-1300
Vandenberg AFB, CA 93437-6307
Phone
(805) 606-1846
NPI assigned
Jul 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41963 CA Primary

Addresses

Primary practice location

338 S Dakota Ave
Ste 1-1300
Vandenberg AFB, CA 93437-6307

Mailing address

668 Korina St
Vandenberg AFB, CA 93437-1367
Phone (805) 734-2126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170412000394 ND Order and Referring Only - Other (Non-Physician) 0143506824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245262864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 KORINA ST",
            "city": "VANDENBERG AFB",
            "state": "CA",
            "postal_code": "934371367",
            "telephone_number": "805-734-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 S DAKOTA AVE",
            "address_2": "STE 1-1300",
            "city": "VANDENBERG AFB",
            "state": "CA",
            "postal_code": "934376307",
            "telephone_number": "805-606-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPOLES",
        "first_name": "ALAN",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandenberg AFB, CA

Sources for this page

Verify at the official NPI Registry.