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DO and Huh DDS Inc

Organization Active NPI Dental Clinic/Center · Los Banos, CA

NPI 1033660873 · NPPES record last updated Oct 17, 2016

Key facts

NPI
1033660873
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
DO AND HUH DDS INC
Practice address
1989 E Pacheco Blvd Ste I
Los Banos, CA 93635-4951
Phone
(209) 826-8600
Fax
(209) 826-8668
NPI assigned
Oct 17, 2016
Organization subpart
No

Authorized official

Name
Matthew DO, DDS NPI 1275723967
Title
President
Phone
(209) 535-3469

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
DO and Huh DDS Inc (3 organizations share this tax ID)

Locations

1989 E Pacheco Blvd
Ste I
Los Banos, CA 93635
Phone (209) 826-8600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

1989 E Pacheco Blvd Ste I
Los Banos, CA 93635-4951

Mailing address

1989 E Pacheco Blvd Ste I
Los Banos, CA 93635-4951
Phone (209) 826-8600

Other names

  • Sierra Dental Group Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 17, 2016.

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1033660873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 E PACHECO BLVD STE I",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354951",
            "telephone_number": "209-826-8600",
            "fax_number": "209-826-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 E PACHECO BLVD STE I",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354951",
            "telephone_number": "209-826-8600",
            "fax_number": "209-826-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DO AND HUH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-535-3469",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Banos, CA

All providers in Los Banos, CA · Dental Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.