Organization Active NPI

Terry Dust

  • Durable Medical Equipment & Medical Supplies
  • Corona, CA
National Provider Identifier
1457680282
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
KK322794 Issued in CA
Legal business name
TERRY DUST
Practice address
8464 Renwick Dr
Corona, CA 92883-5699
Phone
(951) 603-0365
Fax
(951) 603-0365
NPI assigned
Dec 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Terry Robinson, COSMETOLOGIST
Title
President
Phone
(949) 302-0219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X KK322794 CA Primary

Addresses

Primary practice location

8464 Renwick Dr
Corona, CA 92883-5699

Mailing address

8464 Renwick Dr
Corona, CA 92883-5699
Phone (951) 603-0365

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1457680282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8464 RENWICK DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928835699",
            "telephone_number": "951-603-0365",
            "fax_number": "951-603-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8464 RENWICK DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928835699",
            "telephone_number": "951-603-0365",
            "fax_number": "951-603-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY DUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-302-0219",
        "authorized_official_credential": "COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "KK322794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.