Active NPI
David L Mapes, D.D.S.
- Dentist
- Jbsa Lackland, TX
National Provider Identifier
1801880588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4324-015
- Practice address
- 1615 Truemper St
Jbsa Lackland, TX 78236-5511 - Phone
- (210) 671-9970
- NPI assigned
- Sep 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4324-015 | WI | Primary |
Addresses
Primary practice location
1615 Truemper St
Jbsa Lackland, TX 78236-5511
Mailing address
375 Medical Group
310 West Losey St
Scott, Afb, IL 62225
Phone (618) 256-7175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 1, 2023 through Feb 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4324-015 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1801880588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 MEDICAL GROUP",
"address_2": "310 WEST LOSEY ST",
"city": "SCOTT, AFB",
"state": "IL",
"postal_code": "62225",
"telephone_number": "618-256-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 TRUEMPER ST",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782365511",
"telephone_number": "210-671-9970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAPES",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2020-09-17",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "4324-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jbsa Lackland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.