I Dental Family Dentistry Juan C Huaman DDS,Corp

Primary specialty

DentistTaxonomy code 122300000X

License

59160 Issued in CA

Legal business name

I DENTAL FAMILY DENTISTRY JUAN C HUAMAN DDS,CORP

Practice address

620 W Yosemite Ave
Madera, CA 93637-4523

Phone

(559) 673-7700

Fax

(559) 673-7702

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Juan Carlos Huaman, DDS

Title

Managing Dr

Phone

(559) 673-7700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1124419122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374523",
            "telephone_number": "559-673-7700",
            "fax_number": "559-673-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I DENTAL FAMILY DENTISTRY JUAN C HUAMAN DDS,CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "HUAMAN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "MANAGING DR",
        "authorized_official_telephone_number": "559-673-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "122300000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liliana Hurtado
• Sandra Edith Hurtado
• Derrick Xuan Huynh, PHARMD
• Hong Huynh
• Philip W. Hyden, MD
• Joshua Ibanez
• Mara Yahaira Ibarra
• Rame D Iberdemaj, MD
• Katrina Tan Ibonia, M.D.
• Huma Ibrahim, PHARM D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.