Jairo Giovanni Sepulveda, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

49802 Issued in CA

Practice address

233 S Mirage Ave
Lindsay, CA 93247-2543

Phone

(559) 562-5969

Fax

(559) 562-2358

NPI assigned

Nov 20, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jairo Giovanni Sepulveda Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Jairo Sepulveda DDS, Inc.

  • Dental Clinic/Center
  • Lindsay, CA
  • NPI 1093229114
  NPD (past) Authorized official
• Living Water Dental Clinic

  • Dental Clinic/Center
  • Lindsay, CA
  • NPI 1023924909
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114091162",
    "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": [
        {
            "address_1": "620 W Yosemite Ave",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936374523",
            "country_code": "US",
            "telephone_number": "559-661-4113",
            "fax_number": "559-661-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "JAIRO",
        "middle_name": "GIOVANNI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIRO",
            "last_name": "SEPULVEDA",
            "middle_name": "GIOVANNI",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jose Raul Salas, M.D.
• Lilia Saldivar, CRSC
• Megan Ashley Salinas
• Olga Saljoughy, F.N.P.
• Togrol Saljoughy, M.D.
• Sequoia Family Medical Center (Lindsay Family & Pediatric Clinic)
• Jacqueline Servin, FNP-C
• Kalpana Singh, OT
• Sweets Drug Store
• Charles R. Taksa, M.D.

• Dentist in Lindsay, CA
• Providers in Lindsay, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.