NPIMap

Individual provider Active NPI

John C. Eum

  • General Practice Dentistry
  • Newark, DE
National Provider Identifier
1275700130
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0001278 Issued in DE
Practice address
685 E Chestnut Hill Rd
Newark, DE 19713-1827
Phone
(302) 455-9555
NPI assigned
May 9, 2008
Last updated
Jan 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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 G1-0001278 DE Primary

Addresses

Primary practice location

685 E Chestnut Hill Rd
Newark, DE 19713-1827

Mailing address

685 E Chestnut Hill Rd
Newark, DE 19713-1827

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

LicenseStateTypeSpecialty
G1-0001278DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Dental Arts General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1275700130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 E CHESTNUT HILL RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 E CHESTNUT HILL RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131827",
            "telephone_number": "302-455-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUM",
        "first_name": "JOHN",
        "middle_name": "C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.