Organization Active NPI

Jeffrey S Hurless DPM a Professional Podiatry Corporation

  • Foot & Ankle Surgery Podiatrist
  • Thousand Oaks, CA
National Provider Identifier
1073865903
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4207 Issued in CA
Legal business name
JEFFREY S HURLESS DPM A PROFESSIONAL PODIATRY CORPORATION
Practice address
425 Haaland Dr Ste 201
Thousand Oaks, CA 91361-5231
Phone
(805) 496-2383
Fax
(805) 496-2387
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Jeffrey S Hurless, DPM
Title
Owner
Phone
(805) 496-2383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4207 CA Primary

Addresses

Primary practice location

425 Haaland Dr Ste 201
Thousand Oaks, CA 91361-5231

Mailing address

425 Haaland Dr Ste 201
Thousand Oaks, CA 91361-5231
Phone (805) 496-2383

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1073865903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR STE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615231",
            "telephone_number": "805-496-2383",
            "fax_number": "805-496-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR STE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615231",
            "telephone_number": "805-496-2383",
            "fax_number": "805-496-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S HURLESS DPM A PROFESSIONAL PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "HURLESS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-496-2383",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.