Active NPI
Clifford H Jue DDS Inc
- General Practice Dentistry
- Fresno, CA
National Provider Identifier
1780875609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19230
- Legal business name
- CLIFFORD H JUE DDS INC
- Practice address
- 125 E Barstow Ave
Suite 122
Fresno, CA 93710 - Phone
- (559) 227-5309
- Fax
- (559) 227-7934
- NPI assigned
- Aug 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clifford Harold Jue, DDS
- Title
- Dentist
- Phone
- (559) 227-5309
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19230 | CA | Primary |
Addresses
Primary practice location
125 E Barstow Ave
Suite 122
Fresno, CA 93710
Mailing address
125 E Barstow Ave
Suite 122
Fresno, CA 93710
Phone (559) 227-5309
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B1923001 | Other | CA | DENTIST DENTICAL NO |
| 19230 | Other | CA | DENTIST LIC NO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186358400000",
"number": "1780875609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E BARSTOW AVE",
"address_2": "SUITE 122",
"city": "FRESNO",
"state": "CA",
"postal_code": "93710",
"telephone_number": "559-227-5309",
"fax_number": "559-227-7934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E BARSTOW AVE",
"address_2": "SUITE 122",
"city": "FRESNO",
"state": "CA",
"postal_code": "93710",
"telephone_number": "559-227-5309",
"fax_number": "559-227-7934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIFFORD H JUE DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A",
"authorized_official_last_name": "JUE",
"authorized_official_first_name": "CLIFFORD",
"authorized_official_middle_name": "HAROLD",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "559-227-5309",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "19230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST DENTICAL NO",
"identifier": "B1923001",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST LIC NO",
"identifier": "19230",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.