Individual provider Active NPI

Hector Manuel Jauregui, D.D.S.

  • General Practice Dentistry
  • Pasadena, CA
National Provider Identifier
1467502815
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53459 Issued in CA
Practice address
470 N Los Robles Ave
Pasadena, CA 91101-1302
Phone
(626) 564-4330
Fax
(626) 568-2925
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

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 53459 CA Primary

Addresses

Primary practice location

470 N Los Robles Ave
Pasadena, CA 91101-1302

Mailing address

470 N Los Robles Ave
Pasadena, CA 91101-1302
Phone (626) 564-4330

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
I20151221001422 CA Order and Referring Only - DentistPractitioner - Dentist 0941501720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Dental Services, Inc. General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hjauregui@direct.westerndental.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467502815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N LOS ROBLES AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011302",
            "telephone_number": "626-564-4330",
            "fax_number": "626-568-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N LOS ROBLES AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011302",
            "telephone_number": "626-564-4330",
            "fax_number": "626-568-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUREGUI",
        "first_name": "HECTOR",
        "middle_name": "MANUEL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.