Individual provider Active NPI

Dana James Huth, O.D.

  • Optometrist
  • El Cajon, CA
National Provider Identifier
1316383763
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9264 Issued in CA
Practice address
336 Murray Dr
El Cajon, CA 92020-4115
Phone
(619) 544-9000
NPI assigned
May 13, 2013
Last updated
May 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9264 CA Primary

Addresses

Primary practice location

336 Murray Dr
El Cajon, CA 92020-4115

Mailing address

336 Murray Dr
El Cajon, CA 92020-4115
Phone (619) 544-9000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160504000899 CA Order and Referring Only - OptometryPractitioner - Optometry 6608845581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1316383763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 MURRAY DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204115",
            "telephone_number": "619-544-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 MURRAY DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204115",
            "telephone_number": "619-544-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTH",
        "first_name": "DANA",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.