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DR. ERIC A PROUTY D.M.D.
NPI 1609836469
Dentist - General Practice in Costa Mesa, CA

Active since March 24, 2006PECOS Enrolled
3151 AIRWAY AVE, SUITE M2, COSTA MESA, CA 92626(714) 668-9811(714) 668-9811 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Eric A Prouty D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC A PROUTY D.M.D. (NPI 1609836469) is an individual general practice provider in Costa Mesa, California, licensed in California (32651) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609836469
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ERIC A PROUTYCredential: D.M.D.
Location Address3151 AIRWAY AVE, SUITE M2Costa Mesa, CA 92626-4607
Mailing Address2 Cuervo DrAliso Viejo, CA 92656-1742 · (949) 837-3593
Phone(714) 668-9811
Fax(714) 668-9811
Sole ProprietorYes
Enumeration DateMarch 24, 2006
Last NPPES UpdateMarch 28, 2008
✔ NPI 1609836469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 32651
Definition
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.
3151 AIRWAY AVE, Costa Mesa, CA 92626
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric A Prouty D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. VINCE GABRIEL GABORNO CADC1
Counselor (Addiction (Substance Use Disorder))
3151 AIRWAY AVE
COSTA MESA, CA 92626
Orange County (714) 766-5450
AMY CUSUMANO
Counselor (Addiction (Substance Use Disorder))
3151 AIRWAY AVE, D-1
COSTA MESA, CA 92626
Orange County (714) 957-8229
TIFFANI MILSTEAD
Social Worker
3151 AIRWAY AVE, D-1
COSTA MESA, CA 92626
Orange County (714) 957-8229
YOLANDA MARIE WYNNE
Community Based Residential Treatment Facility, Mental Illness
3151 AIRWAY AVE
COSTA MESA, CA 92626
Orange County (949) 694-7172
COHN CHIROPRACTIC GROUP, INC
Chiropractor
3151 AIRWAY AVE, SUITE U-3
COSTA MESA, CA 92626
Orange County (714) 754-8008
MS. ROBIN GIESEN MA
Marriage & Family Therapist
3151 AIRWAY AVE, STE. T-3
COSTA MESA, CA 92626
Orange County (714) 545-5550
SAMUEL T. ENTERPRISE
Counselor (Mental Health)
3151 AIRWAY AVE, SUITE D2
COSTA MESA, CA 92626
Orange County (714) 847-7585
HPR LABORATORIES
Clinical Medical Laboratory
3151 AIRWAY AVE, UNIT G1
COSTA MESA, CA 92626
Orange County (949) 706-5215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Prouty's NPI number?

The NPI number for Eric Prouty is 1609836469. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Eric Prouty located?

Eric Prouty practices at 3151 Airway Ave Suite M2, Costa Mesa, CA 92626. The listed phone number is (714) 668-9811.

What is Eric Prouty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Eric Prouty enrolled in Medicare?

Yes. Eric Prouty is registered in the Medicare PECOS enrollment system.

What insurance does Eric Prouty accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Eric Prouty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Prouty was last updated on March 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.