Individual provider Active NPI

Micaela Ruppert-Majer, DDS

  • General Practice Dentistry
  • Costa Mesa, CA
National Provider Identifier
1467059568
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS105497 Issued in CA
Practice address
270 E 17TH St Ste 15
Costa Mesa, CA 92627-3845
Phone
(714) 224-2480
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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 DDS105497 CA Primary

Addresses

Primary practice location

270 E 17TH St Ste 15
Costa Mesa, CA 92627-3845

Mailing address

7 Gray Stone Way
Laguna Niguel, CA 92677-9330
Phone (949) 573-3131

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
DDS105497CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1467059568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GRAY STONE WAY",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926779330",
            "telephone_number": "949-573-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E 17TH ST STE 15",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273845",
            "telephone_number": "714-224-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPERT-MAJER",
        "first_name": "MICAELA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS105497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.