Brian Z Judelson DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIAN Z JUDELSON DDS INC

Practice address

12587 Hesperia Rd
Victorville, CA 92395-8308

Phone

(760) 241-7084

Fax

(760) 241-3415

NPI assigned

Sep 11, 2009

Last updated

Sep 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Z Judelson, DDSNPI 1871725093

Title

President

Phone

(760) 241-7084

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Z Judelson, DDS

  • General Practice Dentistry
  • Victorville, CA
  • NPI 1871725093
  Authorized official Same address or phone

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1316270176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12587 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958308",
            "telephone_number": "760-241-7084",
            "fax_number": "760-241-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12587 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958308",
            "telephone_number": "760-241-7084",
            "fax_number": "760-241-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN Z JUDELSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "JUDELSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-241-7084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julissa Bresnihan
• Jason Wayne Brewer
• Steven Brewer
• Brian & Larina Chu DDS Inc
• Brian Chu, D.D.S., Inc. (Victor Valley Kids Dental)
• Brighter Day Family Therapy Corp. (Brighter Day Therapy)
• Alejandra Briseno, REGISTERED COUNSELOR
• Lorraine Britton
• Tyquan L Broddock
• Mahkala Brodie

• General Practice Dentistry in Victorville, CA
• Providers in Victorville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.