Individual provider Active NPI

James Michael Pappenfus, D.D.S.

  • General Practice Dentistry
  • Pittsburg, CA
National Provider Identifier
1972504678
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23228 Issued in CA
Practice address
130 E Leland Rd
Suite D
Pittsburg, CA 94565-4983
Phone
(925) 432-2995
Fax
(925) 427-3091
NPI assigned
Aug 3, 2005
Reactivated
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23228 CA Primary

Addresses

Primary practice location

130 E Leland Rd
Suite D
Pittsburg, CA 94565-4983

Mailing address

3649 Ranchford CT.
Concord, CA 94520
Phone (925) 687-6569

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

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1972504678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 RANCHFORD CT.",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-687-6569",
            "fax_number": "925-427-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E LELAND RD",
            "address_2": "SUITE D",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654983",
            "telephone_number": "925-432-2995",
            "fax_number": "925-427-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPENFUS",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2011-07-25",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.