Individual provider Active NPI

James B. Duhamel, DDS

  • General Practice Dentistry
  • Valley Springs, CA
National Provider Identifier
1730173162
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23820 Issued in CA
Practice address
13 Main St
Valley Springs, CA 95252-9299
Phone
(209) 772-9649
Fax
(209) 772-2415
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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 23820 CA Primary

Addresses

Primary practice location

13 Main St
Valley Springs, CA 95252-9299

Mailing address

PO Box 187
Valley Springs, CA 95252-0187
Phone (209) 772-9649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000631 CA Practitioner - Oral Surgery 9032189790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13 Main St
Valley Springs, CA 95252-9299
Phone (209) 772-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James B. Duhamel, Dental Corporation CurrentSince May 21, 2007 Accepting new patients
James B. Duhamel, Dental Corporation PastSince Nov 11, 2019 Accepting new patients

Locations

1930 Tienda Dr
Ste 202
Lodi, CA 95242
Phone (209) 365-1110

1420 S Mills Ave
Ste G
Lodi, CA 95242
Phone (209) 365-1110

2200 McHenry Ave
Ste B
Modesto, CA 95350
Phone (209) 526-9132

13 Main St
Valley Springs, CA 95252
Phone (209) 772-9600

Organizations & group practices 2

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1730173162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952520187",
            "telephone_number": "209-772-9649",
            "fax_number": "209-772-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MAIN ST",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952529299",
            "telephone_number": "209-772-9649",
            "fax_number": "209-772-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUHAMEL",
        "first_name": "JAMES",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Springs, CA

Sources for this page

Verify at the official NPI Registry.