Active NPI
Paul Christian Simeteys, DDS
- General Practice Dentistry
- Temecula, CA
National Provider Identifier
1487678900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25215
- Practice address
- 31560 Rancho Pueblo Rd.
Suite 200
Temecula, CA 92592 - Phone
- (951) 302-4888
- Fax
- (951) 302-3777
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25215 | CA | Primary |
Addresses
Primary practice location
31560 Rancho Pueblo Rd.
Suite 200
Temecula, CA 92592
Mailing address
31560 Rancho Pueblo Rd.
Suite 200
Temecula, CA 92592
Phone (951) 302-4888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150709000819 | CA | Order and Referring Only - Dentist | 5698087377 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25215 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contreras Dental Corporation | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Temecula, CA
- NPI 1811357270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1487678900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31560 RANCHO PUEBLO RD.",
"address_2": "SUITE 200",
"city": "TEMECULA",
"state": "CA",
"postal_code": "92592",
"telephone_number": "951-302-4888",
"fax_number": "951-302-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31560 RANCHO PUEBLO RD.",
"address_2": "SUITE 200",
"city": "TEMECULA",
"state": "CA",
"postal_code": "92592",
"telephone_number": "951-302-4888",
"fax_number": "951-302-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMETEYS",
"first_name": "PAUL",
"middle_name": "CHRISTIAN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "25215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.