Active NPI
Juanito Santos Dualan Jr.
- Registered Respiratory Therapist
- Virginia Beach, VA
National Provider Identifier
1477214740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 0117007087
- Practice address
- 1792 Moonstone Dr
Virginia Beach, VA 23456-5861 - Phone
- (757) 971-0323
- NPI assigned
- Jan 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 0117007087 | VA | Primary |
Addresses
Primary practice location
1792 Moonstone Dr
Virginia Beach, VA 23456-5861
Mailing address
1792 Moonstone Dr
Virginia Beach, VA 23456-5861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0117007087 | VA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641600000000",
"number": "1477214740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1792 MOONSTONE DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234565861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1792 MOONSTONE DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234565861",
"telephone_number": "757-971-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUALAN",
"first_name": "JUANITO",
"middle_name": "SANTOS",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-07",
"last_updated": "2022-01-08",
"certification_date": "2022-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "VA",
"license": "0117007087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.