Individual provider Active NPI

Daniel O Tolhurst, DDS

  • Dentist
  • Bermuda Dunes, CA
National Provider Identifier
1508003344
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39486 Issued in CA
Practice address
42112 Washington St
Suite 1F
Bermuda Dunes, CA 92203-8163
Phone
(760) 360-9274
Fax
(760) 345-4902
NPI assigned
Jan 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39486 CA Primary
General Practice Dentistry 1223G0001X 39486 CA

Addresses

Primary practice location

42112 Washington St
Suite 1F
Bermuda Dunes, CA 92203-8163

Mailing address

42112 Washington St
Suite 1F
Bermuda Dunes, CA 92203-8163
Phone (760) 360-9274

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

LicenseStateTypeSpecialty
39486CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel O Tolhurst DDS Inc Current Accepting new patients

Locations

42112 Washington St
Ste 1F
Bermuda Dunes, CA 92203
Phone (760) 360-9274

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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1508003344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42112 WASHINGTON ST",
            "address_2": "SUITE 1F",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038163",
            "telephone_number": "760-360-9274",
            "fax_number": "760-345-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42112 WASHINGTON ST",
            "address_2": "SUITE 1F",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038163",
            "telephone_number": "760-360-9274",
            "fax_number": "760-345-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLHURST",
        "first_name": "DANIEL",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39486",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bermuda Dunes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.