Active NPI
David Elimelech, DMD
- Dentist
- Cape Girardeau, MO
National Provider Identifier
1831478734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2011026140
- Practice address
- 2867 Walden Blvd Apt 206
Cape Girardeau, MO 63701-7433 - Phone
- (818) 445-4546
- NPI assigned
- Aug 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 2011026140 | MO | Primary |
Addresses
Primary practice location
2867 Walden Blvd Apt 206
Cape Girardeau, MO 63701-7433
Mailing address
2867 Walden Blvd Apt 206
Cape Girardeau, MO 63701-7433
Phone (818) 445-4546
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2011026140 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1831478734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2867 WALDEN BLVD APT 206",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637017433",
"telephone_number": "818-445-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2867 WALDEN BLVD APT 206",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637017433",
"telephone_number": "818-445-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIMELECH",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-09",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2011026140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
- Shahid Atta Elahi, DO
- Bailey Elder
- Elevation Chiropractic, LLC
- Joseph Frederick Elfrink, MD
- Michele Gail Elfrink, SLP
- Elite Dysphagia Diagnostics & Speech Services, LLC (Elite Mobile Therapy & Wellness)
- Elite Life Care LLC
- Elite Med LLC
- Sierra Noelle Elliott-Cotton, PLPC
- Eminem Hold Co Inc (True Test HRT)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.