Active NPI
Josue De Jesus Verduzco, RDH
- Dental Hygienist
- The Dalles, OR
National Provider Identifier
1245035914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H7537
- Practice address
- 813 Hostetler Way W Unit 2
The Dalles, OR 97058-5403 - Phone
- (541) 993-5926
- NPI assigned
- Feb 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 26624 | TX | |
| Dental Hygienist | 124Q00000X | H7537 | OR | Primary |
Addresses
Primary practice location
813 Hostetler Way W Unit 2
The Dalles, OR 97058-5403
Mailing address
813 Hostetler Way W Unit 2
The Dalles, OR 97058-5403
Phone (541) 993-5926
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 |
|---|---|---|---|
| H7537 | OR | MD | Dental Hygienist |
| 26624 | TX | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1245035914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 HOSTETLER WAY W UNIT 2",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970585403",
"telephone_number": "541-993-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 HOSTETLER WAY W UNIT 2",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970585403",
"telephone_number": "541-993-5926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDUZCO",
"first_name": "JOSUE",
"middle_name": "DE JESUS",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-17",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "26624",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H7537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.