Active NPI
Santiago Duenas, D.C.
- Chiropractor
- Anaheim, CA
National Provider Identifier
1235257700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 28784
- Practice address
- 331 E Center St
Anaheim, CA 92805-3263 - Phone
- (714) 535-9072
- Fax
- (714) 535-2403
- NPI assigned
- Mar 26, 2007
- Last updated
- Sep 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 28784 | CA | Primary |
Addresses
Primary practice location
331 E Center St
Anaheim, CA 92805-3263
Mailing address
331 E Center St
Anaheim, CA 92805-3263
Phone (714) 956-3405
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28784 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1235257700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 E CENTER ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053263",
"telephone_number": "714-956-3405",
"fax_number": "714-535-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 E CENTER ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053263",
"telephone_number": "714-535-9072",
"fax_number": "714-535-2403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUENAS",
"first_name": "SANTIAGO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "28784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.