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

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey W FruinNPI 1598968810

Title

Owner

Phone

(760) 634-8100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey W Fruin, DDS

  • General Practice Dentistry
  • Carlsbad, CA
  • NPI 1598968810
  Authorized official Same address or phone

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": []
}

• Jeff D. Peppard D.D.S, Inc.
• Jeffrey a. Stratford-Jones, D.D.S., Inc.
• Jeffrey Bourne D O Medical Corporation
• Jeffrey R. Polito M.D. a Professional Corporation
• Jeffrey S Sager MD Medical Corporation
• Khaled M Jeiroudi
• Anna Thery Jenkins
• Daniel Jenkins, MD
• Lashaundra P Jenkins, MSN, PMHNP-BC
• Melinda Jenkins

• 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.