Individual provider Active NPI

Anjum Nappoly, DDS

  • General Practice Dentistry
  • Victorville, CA
National Provider Identifier
1518631258
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS106449 Issued in CA
Practice address
15667 Roy Rogers Dr Ste a-101
Victorville, CA 92394-2158
Phone
(760) 843-5824
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DDS106449 CA Primary

Addresses

Primary practice location

15667 Roy Rogers Dr Ste a-101
Victorville, CA 92394-2158

Mailing address

24935 Prospect Ave
Loma Linda, CA 92354-2811
Phone (248) 403-4004

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
DDS106449CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Dental Services Multi-Specialty PastSince Aug 8, 2021 Accepting new patients
Pacific Dental Services Multi-Specialty PastSince Aug 8, 2021 Accepting new patients

Organizations & group practices 2

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1518631258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24935 PROSPECT AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542811",
            "telephone_number": "248-403-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15667 ROY ROGERS DR STE A-101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923942158",
            "telephone_number": "760-843-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPPOLY",
        "first_name": "ANJUM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS106449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.