Donald Allan Pepper, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27352 Issued in CA

Practice address

1660 Willow St Ste 7
San Jose, CA 95125-5101

Phone

(408) 266-4571

Fax

(408) 267-9016

NPI assigned

Jan 20, 2007

Sex

Male

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

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1750434726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 WILLOW ST STE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255101",
            "telephone_number": "408-266-4571",
            "fax_number": "408-267-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 WILLOW ST STE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255101",
            "telephone_number": "408-266-4571",
            "fax_number": "408-267-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "DONALD",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Edward Pensler
• Blanka Pentek
• Kate Lynn Pentel
• Laurette Pepin, PT
• Allison Pepper-Calderon, M.A. CCC-SLP
• Sydney Yvette Perales Hurtado
• Jessica Perales
• Patricia Perales
• Carlo Peralta, R.N.
• Dannah Beatrice Peralta

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 Oct 10, 2019; 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.