Organization Active NPI

James B. Duhamel, Dental Corporation

Doing business as Sleep Dental Services

  • Customized Equipment (DME)
  • Lodi, CA
National Provider Identifier
1316158140
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
23820 Issued in CA
Legal business name
JAMES B. DUHAMEL, DENTAL CORPORATION
Doing business as
Sleep Dental Services
Practice address
1420 S Mills Ave Ste G
Lodi, CA 95242-4291
Phone
(209) 365-1110
Fax
(209) 772-8666
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Dr. James Brian Duhamel, DDSNPI 1730173162
Title
Owner
Phone
(209) 772-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 23820 CA
Customized Equipment (DME) 332BC3200X 23820 CA Primary

Addresses

Primary practice location

1420 S Mills Ave Ste G
Lodi, CA 95242-4291

Mailing address

PO Box 607
Valley Springs, CA 95252-0607
Phone (209) 772-9600

Other names 1

  • Sleep Dental Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000283 CA Part B Supplier - Clinic/Group Practice 6709955487 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lodi, CA; Modesto, CA; Valley Springs, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1420 S Mills Ave
Ste G
Lodi, CA 95242
Phone (209) 365-1110

1930 Tienda Dr
Ste 202
Lodi, CA 95242
Phone (209) 365-1110

2200 McHenry Ave
Ste B
Modesto, CA 95350
Phone (209) 526-9132

2200 McHenry Ave
Modesto, CA 95350

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1316158140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952520607",
            "telephone_number": "209-772-9600",
            "fax_number": "209-772-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S MILLS AVE STE G",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424291",
            "telephone_number": "209-365-1110",
            "fax_number": "209-772-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B. DUHAMEL, DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "DUHAMEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-772-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "23820",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "23820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Dental Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sleep Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.