Robert D. Chiurazzi, DDS
Individual provider Active NPI Dentist · Arbuckle, CA
NPI 1275629065 · NPPES record last updated Feb 2, 2017
Key facts
- NPI
- 1275629065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 32452 (CA)
- Practice address
- 89 Putnam Way
Ampla Health Medical and Dental Clinic
Arbuckle, CA 95912 - Phone
- (530) 476-2241
- Fax
- (530) 476-2201
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170119002079 | CA | Order and Referring Only - Dentist |
7113209529 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32452 | CA | MD | Chiropractor |
Interoperability endpoints
- robert.chiurazzi@ampla.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 32452 | CA | Yes |
Addresses
Primary practice location
89 Putnam Way
Ampla Health Medical and Dental Clinic
Arbuckle, CA 95912
Mailing address
89 Putnam Way
Ampla Health Medical and Dental Clinic
Arbuckle, CA 95912
Phone (530) 476-2241
Other providers in Arbuckle, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.