Active NPI
Juan Haro, D.D.S.
- Dentist
- Watsonville, CA
National Provider Identifier
1740480995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46819
- Practice address
- 204 E Beach St
Watsonville, CA 95076-4809 - Phone
- (831) 763-3413
- Fax
- (831) 728-8257
- NPI assigned
- Jul 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 46819 | CA | Primary |
Addresses
Primary practice location
204 E Beach St
Watsonville, CA 95076-4809
Mailing address
45 Nielson St
Watsonville, CA 95076-2468
Phone (831) 728-8250
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120716000413 | CA | Order and Referring Only - Oral Surgery | 0143486365 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46819 | CA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1740480995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 NIELSON ST",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950762468",
"telephone_number": "831-728-8250",
"fax_number": "831-728-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E BEACH ST",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950764809",
"telephone_number": "831-763-3413",
"fax_number": "831-728-8257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARO",
"first_name": "JUAN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "46819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.