Organization Active NPI

Gus Huerta DDS Inc

  • Dentist
  • Sherman Oaks, CA
National Provider Identifier
1558549154
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32320 Issued in CA
Legal business name
GUS HUERTA DDS INC
Practice address
4910 Van Nuys Blvd
Suite 204
Sherman Oaks, CA 91403
Phone
(818) 995-8484
Fax
(818) 995-3506
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mr. Gus Joseph Huerta Jr., DDS
Title
Dentist Owner President
Phone
(815) 995-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32320 CA Primary

Addresses

Primary practice location

4910 Van Nuys Blvd
Suite 204
Sherman Oaks, CA 91403

Mailing address

4910 Van Nuys Blvd
Suite 204
Sherman Oaks, CA 91403
Phone (818) 995-8484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1558549154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "SUITE 204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-995-8484",
            "fax_number": "818-995-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "SUITE 204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-995-8484",
            "fax_number": "818-995-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUS HUERTA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "GUS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST OWNER PRESIDENT",
        "authorized_official_telephone_number": "815-995-8484",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.