Active NPI
David Noel, DDS, MPH
- Dentist
- Rancho Cordova, CA
National Provider Identifier
1831516293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 23872
- Practice address
- 11155 International Dr
Rancho Cordova, CA 95670-6096 - Phone
- (916) 464-3793
- Fax
- (916) 464-3783
- NPI assigned
- Mar 24, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 23872 | CA | Primary |
| Public Health Dentistry | 1223D0001X | 23872 | CA |
Addresses
Primary practice location
11155 International Dr
Rancho Cordova, CA 95670-6096
Mailing address
11155 International Dr
Rancho Cordova, CA 95670-6096
Phone (916) 464-3793
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 |
|---|---|---|---|
| 23872 | CA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1831516293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11155 INTERNATIONAL DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706096",
"telephone_number": "916-464-3793",
"fax_number": "916-464-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11155 INTERNATIONAL DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706096",
"telephone_number": "916-464-3793",
"fax_number": "916-464-3783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-24",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "23872",
"primary": true
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "CA",
"license": "23872",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.