Individual provider Active NPI

Daniel Duane Demaray, D.D.S.

  • General Practice Dentistry
  • El Dorado Hills, CA
National Provider Identifier
1083980882
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
025878 Issued in CA
Practice address
1079 Terracina Dr
El Dorado Hills, CA 95762-5425
Phone
(916) 612-1358
NPI assigned
Mar 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 025878 CA Primary

Addresses

Primary practice location

1079 Terracina Dr
El Dorado Hills, CA 95762-5425

Mailing address

1079 Terracina Dr
El Dorado Hills, CA 95762-5425
Phone (916) 612-1358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025878CAMDGeneral Practice Dentistry
25878CAMDSports Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1083980882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 TERRACINA DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625425",
            "telephone_number": "916-612-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 TERRACINA DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625425",
            "telephone_number": "916-612-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARAY",
        "first_name": "DANIEL",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "025878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.