Active NPI
John Truman Eli, DMD, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Temecula, CA
National Provider Identifier
1871626036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 52381
- Practice address
- 40620 Winchester Rd
Suite B
Temecula, CA 92591-5504 - Phone
- (951) 719-3182
- NPI assigned
- Mar 14, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 52381 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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
- Sagel P Ejantkar, DO
- Ziad El Sayed Suleiman
- Element Medical Inc
- Elevate Mental Health
- Timothy James Elfelt, M.D.
- Elias, Elliott, Lampasi, Fehn, & Harris Adp (Dental Associates of Temecula)
- Elias, Elliott, Lampasi, Fehn, Harris & Nguyen, Adc, Inc (Oasis Family Dental)
- Marin Elias, MD
- Youssef Elias, MD, PHD
- Elite Academic Academy - Lucerne
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.