Individual provider Active NPI

Raymond Eugene Hoyt, DDS

  • General Practice Dentistry
  • San Dimas, CA
National Provider Identifier
1396885125
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32566 Issued in CA
Practice address
319 N San Dimas Ave
Suite a
San Dimas, CA 91773-2658
Phone
(909) 599-5123
Fax
(909) 592-1903
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 32566 CA Primary

Addresses

Primary practice location

319 N San Dimas Ave
Suite a
San Dimas, CA 91773-2658

Mailing address

1148 Avenida Loma Vis
San Dimas, CA 91773-4148
Phone (909) 592-0384

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
I20160725002510 CA Order and Referring Only - DentistPractitioner - Dentist 2365735693

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396885125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 AVENIDA LOMA VIS",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734148",
            "telephone_number": "909-592-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N SAN DIMAS AVE",
            "address_2": "SUITE A",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732658",
            "telephone_number": "909-599-5123",
            "fax_number": "909-592-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOYT",
        "first_name": "RAYMOND",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.