Individual provider Active NPI

David D. Semrau, D.D.S.

  • General Practice Dentistry
  • Mission Viejo, CA
National Provider Identifier
1336211838
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23869 Issued in CA
Practice address
24481 Alicia Pkwy
Suite B-3
Mission Viejo, CA 92691-4534
Phone
(949) 586-9800
Fax
(949) 586-7659
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

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 23869 CA Primary

Addresses

Primary practice location

24481 Alicia Pkwy
Suite B-3
Mission Viejo, CA 92691-4534

Mailing address

24482 Alicia Pkwy.
Suite B-3
Mission Viejo, CA 92691-4534
Phone (949) 586-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160427001516 MT Order and Referring Only - DentistPractitioner - Dentist 2668771551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boyd Dental Corporation 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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336211838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24482 ALICIA PKWY.",
            "address_2": "SUITE B-3",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914534",
            "telephone_number": "949-586-9800",
            "fax_number": "949-586-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24481 ALICIA PKWY",
            "address_2": "SUITE B-3",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914534",
            "telephone_number": "949-586-9800",
            "fax_number": "949-586-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMRAU",
        "first_name": "DAVID",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.