Individual provider Active NPI

Jeffrey Robert Horseman, D.D.S.

  • General Practice Dentistry
  • Whittier, CA
National Provider Identifier
1104833623
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28721 Issued in CA
Practice address
9209 Colima Rd
Suite 3500
Whittier, CA 90605-1800
Phone
(562) 693-7753
Fax
(562) 945-0929
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28721 CA
General Practice Dentistry 1223G0001X 28721 CA Primary

Addresses

Primary practice location

9209 Colima Rd
Suite 3500
Whittier, CA 90605-1800

Mailing address

9209 Colima Rd
Suite 3500
Whittier, CA 90605-1800
Phone (562) 693-7753

Other identifiers 1

IdentifierTypeStateIssuer
28721OtherCACA STATE DENTAL LICENSE

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey R. Horseman, D.D.S., Inc. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104833623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 COLIMA RD",
            "address_2": "SUITE 3500",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051800",
            "telephone_number": "562-693-7753",
            "fax_number": "562-945-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 COLIMA RD",
            "address_2": "SUITE 3500",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051800",
            "telephone_number": "562-693-7753",
            "fax_number": "562-945-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSEMAN",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "28721",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE DENTAL LICENSE",
            "identifier": "28721",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.