Daniel C. Purdy, D.M.D Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

47411 Issued in CA

Legal business name

DANIEL C. PURDY, D.M.D INC

Practice address

5397 Truxtun Ave
Bakersfield, CA 93309-0641

Phone

(661) 832-5530

Fax

(661) 832-0137

NPI assigned

Sep 30, 2015

Organization subpart

No

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

Authorized official

Name

Stacy Bozeman

Title

Office Manager

Phone

(661) 832-5530

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1366812646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5397 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090641",
            "telephone_number": "661-832-5530",
            "fax_number": "661-832-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5397 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090641",
            "telephone_number": "661-832-5530",
            "fax_number": "661-832-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL C. PURDY, D.M.D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "BOZEMAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-832-5530"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "47411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306864210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Tai M Dang, PHARMD
• Willis Dang, PHARM.D
• Jovon Dupree Dangerfield, SUD COUNSELOR
• Daniel & Max, LLC
• Daniel & Max, LLC
• Debra Renee Daniel, LCSW
• Marina Safwat Elia Daniel
• Brenda Daniels
• Cloete Daniels
• Destiny Daniels

• Pediatric Dentistry in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.