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Deactivated NPI 1174888044 Deactivated / Inactive NPI Male Practitioner

Dr. Roy A Eakin , DDS

Dentist - General Practice • Elk Grove, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roy Eakin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 06, 2012
NPI Deactivation Date January 11, 2023
Total Practice Duration ~11 Years of Practice (2012 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Roy Eakin, DDS was a registered Dentist - General Practice practicing in Elk Grove, CA. Throughout an active medical career spanning 11 years, Dr. Eakin provided care at the practice location at 9345 BOULDER RIVER WAY until profile deactivation on 2023-01-11.

Practice Location & Contact Primary Location

Practice Address

9345 Boulder River Way

Elk Grove, CA 956244052

Telephone 9167145096

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elk Grove, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
86 Specialists

Practicing in Elk Grove, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 16135

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 11, 2023

Record deactivated on January 11, 2023

NPI Profile Active July 21, 2012

NPI status registered as active in NPPES database

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Updated Practice Location July 21, 2012

Registered at 9345 BOULDER RIVER WAY, ELK GROVE, CA 956244052 (Tel: 9167145096)

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Updated Business Mailing Address July 21, 2012

Registered at 9345 BOULDER RIVER WAY, ELK GROVE, CA 956244052 (Tel: 9167145096)

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Provider Name / Credentials Updated July 21, 2012

Recorded as ROY EAKIN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2012

Dentist (License #16135 in CA)

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Initial NPI Registration & Enumeration July 06, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174888044
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2012
Last Update: July 21, 2012
Deactivation Date: January 11, 2023

Mailing Address

9345 Boulder River Way

Elk Grove, CA 956244052

Phone: 9167145096

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.