Myriam Defay, DDS
Individual provider Active NPI Dentist · Bieber, CA
NPI 1487706339 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487706339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 52977 (CA)
- Practice address
- 554-850 Medical Center Drive
Bieber, CA 96009 - Phone
- (530) 294-5629
- Fax
- (530) 294-5392
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160114002313 | CA | Order and Referring Only - Oral Surgery |
8224331863 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 52977 | CA | Yes |
Addresses
Primary practice location
554-850 Medical Center Drive
Bieber, CA 96009
Mailing address
41221 Brown Rd
Fall River Mills, CA 96028-9726
Phone (530) 336-7155
Other providers in Bieber, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.