Jesse McIvor Duncan, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

57432 Issued in CA

Practice address

16141 Bolsa Chica St
Huntington Beach, CA 92649-2457

Phone

(714) 846-1386

NPI assigned

Oct 29, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1295988632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16141 BOLSA CHICA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492457",
            "telephone_number": "714-846-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16141 BOLSA CHICA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492457",
            "telephone_number": "714-846-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "JESSE",
        "middle_name": "MCIVOR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57432",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "57432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magaly Duemas
• Jean-Pierre Jacques Dufour, M.D.
• Maria Dulmaganov, ME
• Brenna Dumerton
• Emme Dunbar
• Vincent D. Duncan, RADT
• Taylor Duncker
• Tiffany Dunlap
• Janette Lyn Dunn, MA
• Betty Duong

• Prosthodontics in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.