Individual provider Active NPI

Donald Ephraim Peara, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Merced, CA
National Provider Identifier
1841338530
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
15274 Issued in CA
Practice address
550 W 26TH Street
Merced, CA 95340-2837
Phone
(209) 723-0767
Fax
(209) 723-1270
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 15274 CA Primary

Addresses

Primary practice location

550 W 26TH Street
Merced, CA 95340-2837

Mailing address

550 W 26TH Street
Merced, CA 95340-2837
Phone (209) 723-0767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 12, 2018 through Mar 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peara Dental Corporation Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1841338530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W 26TH STREET",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402837",
            "telephone_number": "209-723-0767",
            "fax_number": "209-723-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W 26TH STREET",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402837",
            "telephone_number": "209-723-0767",
            "fax_number": "209-723-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARA",
        "first_name": "DONALD",
        "middle_name": "EPHRAIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "15274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.