NPIMap

Organization Active NPI

Jairo Sepulveda DDS, Inc.

  • Dental Clinic/Center
  • Lindsay, CA
National Provider Identifier
1093229114
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49802 Issued in CA
Legal business name
JAIRO SEPULVEDA DDS, INC.
Practice address
233 S Mirage Ave
Lindsay, CA 93247-2543
Phone
(559) 562-5969
Fax
(559) 562-2358
NPI assigned
Nov 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Dr. Jairo Giovanni Sepulveda, DENTISTNPI 1114091162
Title
Dentist/ Owner
Phone
(559) 562-5969

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49802 CA Primary

Addresses

Primary practice location

233 S Mirage Ave
Lindsay, CA 93247-2543

Mailing address

233 S Mirage Ave
Lindsay, CA 93247-2543
Phone (559) 562-5969

Other identifiers 1

IdentifierTypeStateIssuer
1114091162OtherCAMEDICAL

Other names 1

  • Jairo Sepulveda DDS, Inc. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1093229114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S MIRAGE AVE",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "932472543",
            "telephone_number": "559-562-5969",
            "fax_number": "559-562-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S MIRAGE AVE",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "932472543",
            "telephone_number": "559-562-5969",
            "fax_number": "559-562-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIRO SEPULVEDA DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA",
        "authorized_official_first_name": "JAIRO",
        "authorized_official_middle_name": "GIOVANNI",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "559-562-5969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "1114091162",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jairo Sepulveda DDS, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lindsay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.