Individual provider Active NPI

Joseph M. Joseph, D.D.S.

  • General Practice Dentistry
  • Camarillo, CA
National Provider Identifier
1669642120
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30836 Issued in CA
Practice address
445 Rosewood Ave
Suite D
Camarillo, CA 93010-5929
Phone
(805) 484-0405
Fax
(805) 388-3595
NPI assigned
Mar 11, 2008
Last updated
Mar 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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 30836 CA Primary

Addresses

Primary practice location

445 Rosewood Ave
Suite D
Camarillo, CA 93010-5929

Mailing address

445 Rosewood Ave
Suite D
Camarillo, CA 93010-5929
Phone (805) 484-0405

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
30836CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1669642120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 ROSEWOOD AVE",
            "address_2": "SUITE D",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105929",
            "telephone_number": "805-484-0405",
            "fax_number": "805-388-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ROSEWOOD AVE",
            "address_2": "SUITE D",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105929",
            "telephone_number": "805-484-0405",
            "fax_number": "805-388-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JOSEPH",
        "middle_name": "M.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.