Organization Active NPI

Pacific Avenue Dental Care

  • General Practice Dentistry
  • Yuma, AZ
National Provider Identifier
1053688341
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
AZ3056 Issued in AZ
Legal business name
PACIFIC AVENUE DENTAL CARE
Practice address
1630 S Pacific Ave Ste 104
Yuma, AZ 85365-2111
Phone
(928) 783-5609
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Franklin D Hulme, D.D.S.
Title
Dentist
Phone
(928) 783-5609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X AZ3056 AZ Primary

Addresses

Primary practice location

1630 S Pacific Ave Ste 104
Yuma, AZ 85365-2111

Mailing address

1630 S Pacific Ave Ste 104
Yuma, AZ 85365-2111
Phone (928) 783-5609

National Provider Directory

National Provider Directory

Locations

1630 S Pacific Ave
Ste 104
Yuma, AZ 85365
Phone (510) 378-9802

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1053688341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 S PACIFIC AVE STE 104",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853652111",
            "telephone_number": "928-783-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 S PACIFIC AVE STE 104",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853652111",
            "telephone_number": "928-783-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC AVENUE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "HULME",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "928-783-5609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "AZ3056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.