Active NPI
Constantine Nicolas Reppas, D.M.D
- Dentist
- San Marcos, CA
National Provider Identifier
1265865570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62741
- Practice address
- 1 Civic Center Dr Ste 230
San Marcos, CA 92069-2925 - Phone
- (760) 798-4178
- Fax
- (760) 798-0564
- NPI assigned
- Aug 10, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 62741 | CA | Primary |
Addresses
Primary practice location
1 Civic Center Dr Ste 230
San Marcos, CA 92069-2925
Mailing address
1 Civic Center Dr
Suite 230
San Marcos, CA 92069-2918
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 |
|---|---|---|---|
| 62741 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reppas & El-Maasri Dental Inc. | Dentist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1265865570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CIVIC CENTER DR",
"address_2": "SUITE 230",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CIVIC CENTER DR STE 230",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692925",
"telephone_number": "760-798-4178",
"fax_number": "760-798-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPPAS",
"first_name": "CONSTANTINE",
"middle_name": "NICOLAS",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-10",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
- Anna Rendon
- Renjit Sundharradas MD a Professional Corporation
- Susanne Reno, LMFT
- Lorena Renteria
- Reppas & El-Maasri Dental Inc. (San Marcos Family Dental)
- Mireya Resendez
- Brene Breanna Resendiz Baltazar
- Christina Resendiz
- Revilla Chiropractic a Professional Corporation (Comprehensive Health and Chiropractic)
- Russell S Revilla, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.