Jeffrey W. Fruin DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEFFREY W. FRUIN DDS, INC

Practice address

3257 Caino de Los Coches 306
Santa Barbara, CA 92009

Phone

(760) 634-8100

Fax

(760) 634-8130

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey W Fruin

Title

Owner

Phone

(760) 634-8100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013110352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 CAINO DE LOS COCHES 306",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "92009",
            "telephone_number": "760-634-8100",
            "fax_number": "760-634-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 CAINO DE LOS COCHES 306",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "92009",
            "telephone_number": "760-634-8100",
            "fax_number": "760-634-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY W. FRUIN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRUIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-634-8100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.