Elena Dupalo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106037 Issued in CA

Practice address

3967 Missouri Flat Rd Ste 120
Placerville, CA 95667-5250

Phone

(530) 642-2876

NPI assigned

Mar 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stout Dental Corporation

  • General Practice Dentistry
  • Placerville, CA
  • NPI 1396141750
  NPD (past)

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1730767666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2794 STANFORD LN",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624210",
            "telephone_number": "415-966-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3967 MISSOURI FLAT RD STE 120",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675250",
            "telephone_number": "530-642-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPALO",
        "first_name": "ELENA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Faith Duby, RN
• Dawn E Duer
• Shruti Duggal
• Catherine A Dunbar, LVN
• Richard Dunning, MD
• Deborah Kathryn Durst
• Vaughna Dusek, FNP
• Neta Duvdevany
• Richard M Dyba
• Joseph Dykes

• General Practice Dentistry in Placerville, CA
• Providers in Placerville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.

Verify at the official NPI Registry.