Individual provider Active NPI

John Truman Eli, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Temecula, CA
National Provider Identifier
1871626036
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
52381 Issued in CA
Practice address
40620 Winchester Rd
Suite B
Temecula, CA 92591-5504
Phone
(951) 719-3182
NPI assigned
Mar 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 52381 CA Primary

Addresses

Primary practice location

40620 Winchester Rd
Suite B
Temecula, CA 92591-5504

Mailing address

26676 Carranza Dr
Mission Viejo, CA 92691-4944
Phone (949) 305-9847

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

LicenseStateTypeSpecialty
52381CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Dental Services 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871626036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26676 CARRANZA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914944",
            "telephone_number": "949-305-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40620 WINCHESTER RD",
            "address_2": "SUITE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915504",
            "telephone_number": "951-719-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELI",
        "first_name": "JOHN",
        "middle_name": "TRUMAN",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "52381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.