NPIMap

Organization Active NPI

Julianna Katherine Brundage

  • Dental Hygienist
  • La Mesa, CA
National Provider Identifier
1679940167
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HAP 591 Issued in CA
Legal business name
JULIANNA KATHERINE BRUNDAGE
Practice address
8104 Commercial St
La Mesa, CA 91942-2926
Phone
(858) 335-1992
NPI assigned
Aug 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Mrs. Julianna Katherine BrundageNPI 1699147157
Title
Rdhap
Phone
(858) 335-1992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X HAP 591 CA Primary

Addresses

Primary practice location

8104 Commercial St
La Mesa, CA 91942-2926

Mailing address

PO Box 1294
La Mesa, CA 91944-1294
Phone (858) 335-1992

National Provider Directory

National Provider Directory

Locations

8104 Commercial St
La Mesa, CA 91942
Phone (858) 335-1992

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1679940167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1294",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441294",
            "telephone_number": "858-335-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 COMMERCIAL ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422926",
            "telephone_number": "858-335-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIANNA KATHERINE BRUNDAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "BRUNDAGE",
        "authorized_official_first_name": "JULIANNA",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "RDHAP",
        "authorized_official_telephone_number": "858-335-1992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP 591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.