Individual provider Active NPI

Paul Christian Simeteys, DDS

  • General Practice Dentistry
  • Temecula, CA
National Provider Identifier
1487678900
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25215 Issued in CA
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

Updated by the provider on Dec 4, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709000819 CA Order and Referring Only - DentistPractitioner - Dentist 5698087377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25215CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.