1518937184 NPI number — DR. RICHARD C. APODACA DDS

Table of content: DR. RICHARD C. APODACA DDS (NPI 1518937184)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518937184 NPI number — DR. RICHARD C. APODACA DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
APODACA
Provider First Name:
RICHARD
Provider Middle Name:
C.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518937184
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 190
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EARLHAM
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50072-0190
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-758-2323
Provider Business Mailing Address Fax Number:
515-758-3031

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 S CHESTNUT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EARLHAM
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50072-2001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-758-2323
Provider Business Practice Location Address Fax Number:
515-758-3031
Provider Enumeration Date:
01/25/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  7007 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 165233 . This is a "DELTA DENTAL" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: 16523 . This is a "WELLMARK BC/BS" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: 734962 . This is a "UNITED CONCORDIA" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".